Neuroimaging in seizure patients associated with nonketotic hyperglycemia.
Nonketotic hyperglycemia (NKH) is a clinical syndrome consisting of hyperglycemia, hyperosmolality and intracellular dehydration but not ketoacidosis. This prospective study evaluated the clinical and magnetic resonance imaging abnormalities in six patients with NKH complicated with simple or complex partial seizures. Subcortical T2 hypointensity rather than hyperintensity together with contrast enhancement was a characteristic feature of seizures associated with NKH. Restricted diffusion on DWI and decreased NAA and/or Choline on MRS studies were also noted.
Department of Radiology, Taichung Veterans General Hospital; Department of Medical Imaging and Radiological Science, Central Taiwan University of Science and Technology; Taichung, Taiwan - Department of Physical Therapy, Hungkuang University; Taichung, Taiwan - Department of Physical Therapy and Assistive Technology, National Yang-Ming University; Taipei, Taiwan - ccc@vghtc.gov.tw, clayton0805@gmail.com.
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CC
Chen
J-W
JW
Chai
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Wu
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Chen
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HC
Hung
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Lee