Speech arrest as manifestation of seizures in non-ketotic hyperglycaemia

Carril, J.M.F.; Guijarro, Carlos; Portocarrero, Jill; Solache, I.; Jiménez, A Arribas; Seijas, E.Valera De

doi:10.1016/0140-6736(92)92931-5

Cited by 17 publications

(7 citation statements)

References 5 publications

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“…Occipital lobe seizures have been described in the form of colored flashes or, more rarely, elaborate hallucinations sometimes associated with aversive phenomena of the eyes and head [5]. In addition, there are reports of aphasia associated with partial motor effects, pilomotor, and gyratory seizures [6][7].…”

Section: Discussionmentioning

confidence: 99%

Non-Ketotic Hyperglycemia Causing a Transient Unilateral Homonymous Hemianopia: A Manifestation of Occipital Lobe Seizure

Gaballa

Hlaing

Moursy

et al. 2020

Cureus

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Focal seizures related to non-ketotic hyperglycemia (NKH) are rare in clinical practice. Plasma glucose levels are usually above 16.6 mmol/L and with normal or slightly elevated serum osmolality. The occurrence of focal seizures may be augmented by the absence of ketoacidosis. Electroencephalogram (EEG) during seizures usually confirms the diagnosis, however, the absence of epileptiform discharges does not rule out seizures. A non-ketotic hyperglycemiaassociated occipital lobe seizure can manifest itself as color flashes, blurry vision with periodic confusion, and usually resolves with insulin treatment and rehydration. We are reporting a 65year-old male patient who presented with intermittent confusion and left-sided visual disturbances, found to have a blood glucose of 33.7 mmol/L with a normal anion gap of 10 and calculated serum osmolality of 303 mOsm/L. The patient's visual disturbances responded very well to rehydration and insulin treatment.

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Section: Discussionmentioning

confidence: 99%

Non-Ketotic Hyperglycemia Causing a Transient Unilateral Homonymous Hemianopia: A Manifestation of Occipital Lobe Seizure

Gaballa

Hlaing

Moursy

et al. 2020

Cureus

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“…It is estimated that approximately 25% of all diabetics will experience different types of seizures during their lifetime [7]. These convulsive seizures may have different clinical presentations: generalized tonic-clonic seizures [8][9][10][11], focal seizures often with motor expression and more rarely sensory or sensitive-sensory such as occipital seizures or "speech arrests" [12][13][14][15], and more exceptionally autonomic/vegetative crises [10]. Anecdotal cases of abdominal epilepsy have also been reported during diabetes mellitus [16].…”

Section: Discussionmentioning

confidence: 99%

“…These seizures occurring during diabetes mellitus are most often symptomatic secondary to metabolic disorders specific to diabetic disease such as: hyperglycemia even without ketosis (nonketotic hyperglycaemia) [8,12,13,15,17,18], classic hypoglycaemia or exceptionally reactive hypoglycaemia hyperosmolarity or isolated hypomagnesemia [9,11,17,[19][20][21][22][23].…”

Section: Issn: 2475-5591mentioning

confidence: 99%

Bravais-Jacksonian Epilepsy Associated With Type 2 Diabetes Mellitus

2018

Adv Diabetes Endocrinol

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Introduction: Epilepsy associated with diabetes mellitus is very rare, and is seen mainly in type 1 diabetes. The focal forms are exceptional.We report an unusual observation of Bravais-Jacksonian epilepsy (BJE) in type 2 diabetes mellitus.Case report: A 50-year-old woman, who has been diabetic for a year but refuses treatment, was referred to us for high glycaemia (fasting blood glucose at 8.52 mmol/l and postprandial at 13 mmol/l) with recent onset abnormal movements in the upper left limb since a month. There were no degenerative complications of his diabetes. His HbA1C was at 8%. She was treated with metformin and intestinal alpha-glucosidase inhibitors with good evolution. The specialized neurological examination concluded with a BJE of the left arm. Brain imaging and EEG were normal. Epileptic seizures stopped after equilibration of diabetes. Conclusion:Epilepsy remains exceptional and often difficult to diagnose and treat during type 2 diabetes mellitus. Our observation is, to the best of our knowledge, the first to signal such epilepsy associated with type 2 diabetes.

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“…Hypo-and hypercalcaemia, [487][488][489] non-ketotic hyperglycaemia 478,[490][491][492] and hyponatraemia 478,493,494 have all occasionally been reported to cause transient ischaemic attack and stroke-like episodes, but some may some may actually have been partial epileptic seizures (section 3.4.5).…”

Section: Hypoglycaemia and Other Metabolic Causes Of Stroke-like Syndmentioning

confidence: 99%