J Korean Neurol Assoc > Volume 20(1); 2002 > Article

Journal of the Korean Neurological Association 2002;20(1): 75-78.

"후두엽성 복합 부분 발작의 간질 중첩증으로 발현된 비케톤성 고혈당증: 신경 영상 소견"

문소영 , 서대원 김한영 손영민 박민수 신원철 나동규 홍승봉

성균관대학교 의과대학 삼성서울병원 신경과학교실, 진단방사선과

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

So-Young Moon

"Department of Neurology and Diagnostic Radiology, Samsung Medical center, Sungkyunkwan University School of Medicine"

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 diffusion- weighted images seemed to reveal tissue injury after partial status epilepticus and regional ischemia associated with non-ketotic hyperglycemia.Key Words : Non-ketotic hyperglycemia, partial status epilepticus, MRI"