J Korean Neurol Assoc.  2002 Jan;20(1):75-78.

Non-ketotic Hyperglycemia Manifested as Occipital Lobe Complex Partial Status Epileticus

Affiliations
  • 1Department of Neurology, Samsung Medical center, Sungkyunkwan University School of Medicine, Korea. dwseo@smc.samsung.co.kr
  • 2Department of Diagnostic Radiology, Samsung Medical center, Sungkyunkwan University School of Medicine, Korea.

Abstract

A 48-year-old woman presented with right visual aura evolving into versive and clonic seizures. The seizures were controlled not by anticonvulsants but bynormalization of blood sugar and not by anticonvulsants. T2-weighted MRI (T2WI) showed subcortical hypointensity and cortical hyperintensity with a low apparent diffusion coefficient (ADC) value in left occipital area, which reversed into a high ADC value at in follow-up images. Serial MRIs including diffu-sion- weighted images seemed to reveal tissue injury after partial status epilepticus and regional ischemia associated with non-ketotic hyperglycemia.

Keyword

Non-ketotic hyperglycemia; partial status epilepticus; MRI

MeSH Terms

Anticonvulsants
Blood Glucose
Diffusion
Epilepsy
Female
Follow-Up Studies
Humans
Hyperglycemia*
Ischemia
Magnetic Resonance Imaging
Middle Aged
Occipital Lobe*
Seizures
Status Epilepticus
Anticonvulsants
Blood Glucose
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