A Case of Aphasic Seizure as a Manifestation of Nonketotic Hyperglycemia in a Patient Undergoing Peritoneal Dialysis

Peritoneal glucose absorption in peritoneal dialysis causes hyperglycemia. Nonketotic hyperglycemia (NKH) includes hyperosmolar hyperglycemic state, which refers to a condition that hyperglycemia, hyperosmotic pressure, and dehydration without severe acidosis. NKH is associated with various types of epileptic seizures, but aphasic seizure as neurological complication very rare. Here we report case patient who underwent dialysis. A 57-year-old man had been undergoing visited our hospital the chief complaint aphasia. His magnetic resonance imaging scan was normal, his electroencephalography showed frequent generalized delta slow activity well epileptiform discharges originating from left frontotemporal lobe. modality switched hemodialysis he started on insulin for control. The latter resulted disappearance seizures