Status epilepticus with visual seizures in ketotic hyperglycemia

Abstract Metabolic disturbances are often associated with epileptic seizures, but the pathogenesis of this relationship is poorly understood. We describe the case of a 48-year-old man who presented with complex partial status epilepticus with visual seizures in the context of ketotic hyperglycemia....

Full description

Saved in:
Bibliographic Details
Published in:Epilepsy & behavior 2009-12, Vol.16 (4), p.660-662
Main Authors: Martínez-Fernández, Raul, Gelabert, A, Pablo, M.J, Carmona, O, Molins, A
Format: Article
Language:English
Subjects:
Complex partial status
Electroencephalography
Epilepsy
Humans
Hyperglycemia - complications
Hyperglycemia - diagnosis
Hyperglycemia - drug therapy
Insulin - therapeutic use
Ketone bodies
Ketosis - complications
Ketosis - diagnosis
Ketosis - drug therapy
Ketotic hyperglycemia
Magnetic Resonance Imaging
Male
Middle Aged
MRI
Neurology
Status Epilepticus - diagnosis
Status Epilepticus - drug therapy
Status Epilepticus - etiology
Treatment Outcome
Visual seizures
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Metabolic disturbances are often associated with epileptic seizures, but the pathogenesis of this relationship is poorly understood. We describe the case of a 48-year-old man who presented with complex partial status epilepticus with visual seizures in the context of ketotic hyperglycemia. The EEG revealed a temporal epileptogenic focus and alterations were apparent on MRI in the acute phase and 4 months later. Very few cases of seizures in ketotic patients have been reported because ketone bodies have a protective effect against epilepsy. Seizures in hyperglycemia tend to be partial, and the only reports of visual seizures were due to occipital foci. Neuroradiological alterations have been reported in epileptic seizures, although usually in generalized seizures. The clinical, electrical, and imaging characteristics of this case are interesting and suggest that partial seizures can also cause long-term neuronal damage.
ISSN:1525-5050
1525-5069
DOI:10.1016/j.yebeh.2009.10.005