title: Seizures and movement disorders induced by hyperglycemia without ketosis in elderly.
abstract: BACKGROUND
  Non-ketotic hyperglycemia (NKHG) may increase the probability of seizures and movement disorders.
  
  
  METHODS
  We describe a series of 14 elders admitted for seizures and movement disorders linked to NKHG.
  
  
  RESULTS
  Twelve patients developed motor seizures and two others movement disorders. Glucose levels varied 9.28 to 32 mmol/l, while osmolarity values varied from 302.28 to 328 mosmol/l. All patients responded well to insulin therapy and four of them needed anti-epileptic drugs.
  
  
  CONCLUSIONS
  Seizures or movement disorders in elderly with NKHG could be misdiagnosed as neurological diseases. Blood glucose must be audited whenever patients with seizures or movement disorders are encountered, as the condition may quickly resolve when NKHG is controlled.
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Samia
authors.initials: S
authors.lastname: Younes
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Yousra
authors.initials: Y
authors.lastname: Cherif
authors.affiliation: Department of Neurology, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Mouna
authors.initials: M
authors.lastname: Aissi
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Wafa
authors.initials: W
authors.lastname: Alaya
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Olfa
authors.initials: O
authors.lastname: Berriche
authors.affiliation: Department of Neurology, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Amel
authors.initials: A
authors.lastname: Boughammoura
authors.affiliation: Department of Neurology, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Mahbouba
authors.initials: M
authors.lastname: Frih-Ayed
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Baha
authors.initials: B
authors.lastname: Zantour
authors.affiliation: Department of Endocrinology and Internal Medicine, School of Medicine, University of Monastir, Al Munastîr, Tunisia.
authors.forename: Mohamed
authors.initials: M
authors.lastname: Habib Sfar
keywords: Chorea-Ballismus; Hyperglycemia Without Ketosis; Movement Disorder; Non-Ketotic Hyperglycemia; Seizures