Focal crisis originating from movement in a hyperglycemic nonketotic patient

Abstract

RESUMO -Apresentação de caso de paciente diabético de longa data, com crises parciais motoras desencadeadas por movimentação' passiva do membro superior direito. Este é o objetivo do relato, pois trata-se de tipo raro de crise, quando comparado às crises parciais espontâneas em pacientes diabéticos. Freqüentemente, crises parciais são manifestação inicial de diabetes mellitus (cerca de 19% dos casos registrados). Neste caso, como nos da literatura, o controle das crises foi obtido com a normalização dos níveis séricos de glicose. São discutidos aspectos da provável fisiopatogenia. Focal crisis originating from movement in a hyperglycemic nonketotic patient.SUMMARY -Case report of a long term diabetic patient with partial motor crises originating from passive movement of the right arm. This is a rare type of crisis when compared to spontaneous partial crisis in diabetic patients. Partial crises are often the initial manifestation of diabetes mellitus (about 19% of the cases reported). As in those cases registered in the literature, crisis control in this case was obtained by normalization of glycose serum levels. Possible mechanisms involved in the pathogenesis are discussed. Focal crisis originating from movement in a hyperglycemic nonketotic patient.SUMMARY -Case report of a long term diabetic patient with partial motor crises originating from passive movement of the right arm. This is a rare type of crisis when compared to spontaneous partial crisis in diabetic patients. Partial crises are often the initial manifestation of diabetes mellitus (about 19% of the cases reported). As in those cases registered in the literature, crisis control in this case was obtained by normalization of glycose serum levels. Possible mechanisms involved in the pathogenesis are discussed.A epilepsia parcial contínua é complicação bem aceita de hiperglicemia não cetótica, ocorrendo em cerca de 19% dos casos descritos em levantamentos de literatura