title: Recurrent seizures following focal motor status epilepticus in a patient with non-ketotic hyperglycemia and acute cerebral infarction.
abstract: Focal motor status epilepticus (FMSE) is often associated non-ketotic hyperglycemia (NKH). There are no previous reports describing FMSE with NKH that was accompanied by an acute cerebral infarction and its long term follow-up result. We describe the case of a patient having focal motor status epilepticus (FMSE) associated with non-ketotic hyperglycemia (NKH) and acute cerebral infarction who later developed recurrent unprovoked seizures. A small acute infarct was observed in the left frontal subcortical area on diffusion-weighted images (DWI). FMSE was initially controlled with short term antiepileptic drugs and strict glucose control. Two years later, recurrent seizures occurred, and long-term antiepileptic drug treatment was administered. DWI should be considered for acute cerebral infarction in patients having FMSE associated with NKH, and careful follow-up should be conducted for such patients.
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Jung-Ju
authors: JJ
authors: Lee
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Jinwoong
authors: J
authors: Jung
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Kyusik
authors: K
authors: Kang
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Jong-Moo
authors: JM
authors: Park
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Hyeeun
authors: H
authors: Shin
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Ohyun
authors: O
authors: Kwon
authors: Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
authors: Byung-Kun
authors: BK
authors: Kim
keywords: Diffusion-weighted image; Hyperglycemia; Status epilepticus