Non-convulsive Complex Partial Status Epilepticus as a Manifestation of Non-Ketotic Hyperglycemia

J Korean Neurol Assoc > Volume 24(4); 2006 > Article

Journal of the Korean Neurological Association 2006;24(4): 359-363.

측두엽 복합 부분 발작의 비경련성 간질 중첩증으로 나타난 비케톤성 고혈당증 1예

김도형, 이상도 박상원 손성일 조용원 이 형 임정근

계명대학교 의과대학 신경과학교실

Non-convulsive Complex Partial Status Epilepticus as a Manifestation of Non-Ketotic Hyperglycemia

Do-Hyung Kim

Department of Neurology, Keimyung University School of Medicine, Daegu, Korea

Abstract

Status complex partial seizure caused by non-ketotic hyperglycemia (NKH) has been known to be rare. A 42-year-old diabetic man was admitted because of abnormal behavior. Video-EEG monitoring revealed an ictal EEG correlate of this behavior. Brain MRI showed an abnormal signal intensity in the right temporal cortex. Seizures were controlled by lowering glucose levels and a follow-up MRI showed resolution of the abnormal signal. We report a case of non-convulsive status epilepticus as a complex partial seizure type by NKH. KeyWords:Non-ketotic hyperglycemia, Complex partial seizure, Status epilepticus