Neurology - Seizures and non-ketotic hyperglycemia - 06/05/08
Doi : PM-09-2005-34-15-0755-4982-101019-200507460
C. Scherer
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Seizures and non-ketotic hyperglycemia |
Key points |
- In patients older than 50 years, a first seizure can reveal non-ketotic hyperglycemia, regardless of any previous history of diabetes mellitus.
- Partial motor seizures are observed in most cases, sometimes with epilepsia partialis continua.
- Plasma glucose levels are usually above 20 mmol/L, and serum osmolarity is normal or slightly elevated.
- The absence of ketoacidosis may promote the occurrence of seizures.
- EEG and neuroimaging between seizures are usually normal.
- Treatment involves correction of the hyperglycemia with insulin treatment and rehydration.
Esquema
© 2005 Elsevier Masson SAS. Tous droits réservés.
Vol 34 - N° 15
P. 1084-1086 - septembre 2005 Regresar al númeroBienvenido a EM-consulte, la referencia de los profesionales de la salud.