title: EEG-fMRI coregistration in non-ketotic hyperglycemic occipital seizures.
abstract: We report the first case, to our knowledge, of non-ketotic hyperglycemic (NKH) related occipital seizures studied by continuous EEG-fMRI in an undiagnosed diabetic patient. Ictal EEG showed left posterior spikes and sharp-waves. Seizures subsided after insulin therapy was started. Continuous EEG-fMRI was performed and BOLD activation was identified in the left Brodmann's area 18 (visual association area). Activation of an epileptic focus related with the patient's metabolic disturbance can be postulated.
authors.affiliation: Department of Neurological and Visual Science, University of Verona, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Del Felice
authors.forename: Tiziano
authors.initials: T
authors.lastname: Zanoni
authors.forename: Mirko
authors.initials: M
authors.lastname: Avesani
authors.forename: Emanuela
authors.initials: E
authors.lastname: Formaggio
authors.forename: Silvia
authors.initials: S
authors.lastname: Storti
authors.forename: Antonio
authors.initials: A
authors.lastname: Fiaschi
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Moretto
authors.forename: Paolo
authors.initials: P
authors.lastname: Manganotti
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D002220:Carbamazepine / Q000627:therapeutic use; D004569:Electroencephalography; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007091:Image Processing, Computer-Assisted; D007328:Insulin / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009778:Occipital Lobe / Q000473:pathology* / Q000503:physiopathology; D010100:Oxygen / Q000097:blood; D012640:Seizures / Q000150:complications* / Q000473:pathology* / Q000503:physiopathology; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D000927:Anticonvulsants; D007004:Hypoglycemic Agents; D007328:Insulin; D002220:Carbamazepine; D010100:Oxygen