Nonketotic Hyperglycemia-related Seizures of Left Parieto-occipital Origin: A Case Report

Abstract

INTRODUCTION Nonketotic hyperglycemia–related seizures are not uncommonly encountered in clinical practice. Their presentation varies, and they may cause serious consequences if they remain unnoticed. CASE We report a case of nonketotic hyperglycemia-related seizures of unique left parieto-occipital origin and semiology, presenting as focal aware (simple partial) and impaired awareness (complex partial) seizures, including contralateral limb convulsion and apraxialike behavior. DISCUSSION Nonketotic hyperglycemia–related seizures can present with a relatively unique semiology. Careful education to the patients and family regarding attention to the paroxysmal symptoms and an effort to maintain good glycemic control are mandatory in clinical practice.