Proprioceptive-induced seizure in diabetic non-ketotic state: A video case report

Abstract

A 63-year-old diabetic gentleman with proprioceptive-induced seizures is reported. Marked hyperglycemia due to discontinuation of anti-diabetic medication was the precipitating cause. Distinctive clinical feature of this case was recurrent focal motor seizures involving the left upper limb precipitated by volitional movements of the same limb and self-aborted by holding the affected limb with the contralateral limb. This was accompanied by left brachial weakness without corresponding lesions on cranial MRI. Despite rapid achievement of euglycemia, seizures persisted and required anticonvulsant polytherapy for effective control.