Forced eye closure-induced reflex seizure and non-ketotic hyperglycemia.
We report an uncommon case of 53-year-old female patient with partial seizure induced by forced voluntary eye closure due to non-ketotic hyperglycemia. The initial laboratory tests showed an elevated blood glucose level of 550 mg/dL but no evidence of ketosis. Brain magnetic resonance imaging was normal. When the blood glucose levels decreased slowly to about 150 mg/dL in five days, the seizures ended completely. No anticonvulsants were used. Since seizures are generally refractory to antiepileptic medication, control of blood glucose is essential.
Tiras
Raziye
R
Department of Neurology, Haseki Educational and Research Hospital, Istanbul, Turkey.
Mutlu
Aytul
A
Ozben
Serkan
S
Aydemir
Tuba
T
Ozer
Feriha
F
D005143:Eyelids; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D008875:Middle Aged; D012018:Reflex; D012640:Seizures / Q000209:etiology*