Occipital seizures induced by hyperglycemia: a case report and review of literature

Seizure : the Journal of the British Epilepsy Association
Farzad Moien-Afshari, José F Téllez-Zenteno

Abstract

An 83-year-old right-handed male presented with a 2-day history of episodic jerking and "spasms" in the left arm, each lasting approximately 1min, followed by weakness. He also described episodes of flashing colorful lights (green and blue) in his left visual field, not always accompanied by arm jerking, associated with intermittent confusion. His past medical history was significant for type-2 diabetes mellitus. Neurological exam showed an intermittent visual deficit in both eyes, in the inferior fields, mild left upper extremity weakness with brisk reflexes. Several brief episodes of focal motor (clonic) seizure activity involving the left upper limb were observed. Blood glucose was 639mg/dL, with serum osmolarity of 316mosmol/L. Ketoacidosis was absent. Two electrographic seizures from the left occipital region maximum at O1 associated with visual symptoms were recorded. CT head performed on the day of admission was normal. MRI was not done because of a pacemaker. Patient was treated with hydration and insulin and all the neurological symptoms including the seizures disappeared after 24h. We report a patient with clinical and electrographic seizures from the occipital region associated with hyperglycemia. This is a unique co...Continue Reading

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Citations

Sep 8, 2012·European Journal of Endocrinology·Alberto VerrottiFrancesco Chiarelli
May 4, 2013·AJNR. American Journal of Neuroradiology·G BathlaA Agarwal
Feb 11, 2015·Epilepsy & Behavior Case Reports·Swapna L PuttaTracey A Milligan
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Nov 7, 2019·Journal of Movement Disorders·Ryul KimJin-Sun Jun
Jun 17, 2020·The Neuroradiology Journal·Sara Rosa Maria De MartinoLuigi Cirillo
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Mar 18, 2021·World Journal of Clinical Cases·Xiao-Hui XiangGuo-Hua Zhao
May 7, 2021·Clinical Medicine Insights. Case Reports·Jung-Ju LeeByung-Kun Kim

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