Aphasic Seizure as a Manifestation of Non-Ketotic Hyperglycemia

J Korean Neurol Assoc > Volume 30(4); 2012 > Article

Journal of the Korean Neurological Association 2012;30(4): 309-311.

실어증발작으로 나타난 비케톤성 고혈당증

김지연, 이세훈 이정주 김병건 권오현 박종무 강규식

을지대학교 의과대학 신경과학교실

Aphasic Seizure as a Manifestation of Non-Ketotic Hyperglycemia

Jiyeon Kim

Department of Neurology, Eulji University College of Medicine, Seoul, Korea

Abstract

Non-ketotic hyperglycemia (NKH) is often related to various types of epileptic seizures. However, aphasic seizures associated with NKH have been rarely reported. A 60-year-old diabetic woman was admitted with language disturbance. She presented recurrent motor aphasia and EEG demonstrated ictal rhythmic discharges initiated from left frontal lobe. The seizures disappeared after introduction of carbamazepine and successful control of serum glucose. She remained seizure-free for three months after discharge. We report a case of NKH, manifested by aphasic seizures. Key Words: Aphasic seizure, Non-ketotic hyperglycemia