title: The hitchhiker's guide to the role of (transient) hypoglycemia in refractory seizures and epilepsy.
abstract: Hypoglycemia and hypoglycorrhachia, although they are uncommon causes of refractory seizures and epilepsy, should always be considered because they are potentially treatable conditions. A high index of suspicion and low threshold for testing recurrent blood and at least one cerebrospinal fluid glucose level are required. Jeavons syndrome and other refractory cryptogenic/idiopathic epilepsies may involve symptomatic etiologies, including hyperinsulinism, GLUT1 deficiency, and other metabolic disorders.
authors: Division of Child Neurology, College of Medicine, University of Oklahoma, Oklahoma City, Oklahoma 73104, USA. Y-Ng@ouhsc.edu
authors: Yu-Tze
authors: YT
authors: Ng
mesh_terms: D004832:Epilepsy, Absence / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D006946:Hyperinsulinism / Q000150:complications* / Q000175:diagnosis*; D007003:Hypoglycemia / Q000150:complications* / Q000175:diagnosis*