Forced eye closure-induced reflex seizure and non-ketotic hyperglycemia

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Forced eye closure-induced reflex seizure and non-ketotic hyperglycemia

We report an uncommon case of 53-year-old female patient with partial seizure induced by forced voluntary eye closure due to non-ketotic hyperglycemia. The initial laboratory tests showed an elevated blood glucose level of 550 mg/dL but no evidence of ketosis. Brain magnetic resonance imaging was normal. When the blood glucose levels decreased slowly to about 150 mg/dL in five days, the seizure...

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Reflex seizures and non-ketotic hyperglycemia: an unresolved issue

Reflex seizures are a rare form of epilepsy, the pathogenesis of which is unclear. They have been reported in the setting of non-ketotic hyperglycemia (NKH) and are considered to be neuroendocrine in origin. We report a diabetic patient with movement-induced seizures whose presentation suggests that brain ischemia may be the precipitating event in focal seizures seen in the setting of NKH. We r...

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Non-ketotic hyperglycemia unmasks hemichorea

BACKGROUND Chorea can be caused by a variety of diseases, including neurodegenerative disorders, vascular events, toxic-metabolic states, and immunologic and infectious diseases. We describe a patient who presented with hemichorea as the initial manifestation of Diabetes Mellitus (DM) and responded partially to the glycemic control. CASE REPORT A 63-year-old, healthy Hispanic man with no prio...

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Prediction of seizure control in non-ketotic hyperglycemic induced seizures

BACKGROUND To study the factors predictive for seizure control in non-ketotic hyperglycemic induced seizures (NKHS). METHODS We studied 21 patients who were clinically diagnosed as NKHS at Khon Kaen University hospital, Thailand. Multiple linear regression analysis was used to identify the factors predictive for seizure control. RESULTS Most patients had no previous history of diabetes and ...

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Hemichorea-Hemiballism Secondary to Non-Ketotic Hyperglycemia

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ژورنال

عنوان ژورنال: Annals of Saudi Medicine

سال: 2009

ISSN: 0256-4947,0975-4466

DOI: 10.4103/0256-4947.55319