Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report

Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report

We describe a case of non-ketotic hyperglycemia (NKH), heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.

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Main Authors: BATISTA,MARCUS SABRY AZAR, SILVA,DÉLRIO FAÇANHA, FERRAZ,HENRIQUE BALLALAI, ANDRADE,LUIZ AUGUSTO FRANCO DE
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 1998
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200022
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spelling oai:scielo:S0004-282X19980002000222000-11-10Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case reportBATISTA,MARCUS SABRY AZARSILVA,DÉLRIO FAÇANHAFERRAZ,HENRIQUE BALLALAIANDRADE,LUIZ AUGUSTO FRANCO DE aphasia seizures diabetes mellitus We describe a case of non-ketotic hyperglycemia (NKH), heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.info:eu-repo/semantics/openAccessAcademia Brasileira de Neurologia - ABNEUROArquivos de Neuro-Psiquiatria v.56 n.2 19981998-06-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200022en10.1590/S0004-282X1998000200022
institution SCIELO
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country Brasil
countrycode BR
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databasecode rev-scielo-br
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region America del Sur
libraryname SciELO
language English
format Digital
author BATISTA,MARCUS SABRY AZAR
SILVA,DÉLRIO FAÇANHA
FERRAZ,HENRIQUE BALLALAI
ANDRADE,LUIZ AUGUSTO FRANCO DE
spellingShingle BATISTA,MARCUS SABRY AZAR
SILVA,DÉLRIO FAÇANHA
FERRAZ,HENRIQUE BALLALAI
ANDRADE,LUIZ AUGUSTO FRANCO DE
Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
author_facet BATISTA,MARCUS SABRY AZAR
SILVA,DÉLRIO FAÇANHA
FERRAZ,HENRIQUE BALLALAI
ANDRADE,LUIZ AUGUSTO FRANCO DE
author_sort BATISTA,MARCUS SABRY AZAR
title Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
title_short Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
title_full Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
title_fullStr Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
title_full_unstemmed Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
title_sort complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report
description We describe a case of non-ketotic hyperglycemia (NKH), heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.
publisher Academia Brasileira de Neurologia - ABNEURO
publishDate 1998
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1998000200022
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