Hyperglycemia-induced Nonconvulsive Status Epilepticus (NCSE) and Cranial Magnetic Resonance Imaging Results: A Case Presentation

Abstract

Epileptic seizure occur in up to 25% of cases of, non-ketotic hyperglycemia (NKH). These seizures are the first finding of diabetes mellitus in 50% of the patients. The most common epilepsy is known as epilepsia partialis continua (EPC), Occipital lobe seizures and aphasic seizures may also be seen in these patients. The recovery from seizures can be with the correction of hyperglycemia. The cranial magnetic resonance imaging (MRI) findings of hyperglycemia induced status epilepticus (SE) and/or epileptic seizures have been described; however, their significance and underlying mechanisms have not been understood clearly. Although there is a consensus about the acute treatment of status epilepticus, insufficient information is available about the acute symptomatic SE treatment. Here we described the clinical and the radiological findings of a patient with NKH who was diagnosed with nonconvulsive status epilepticus in the light of the literature.

Keywords

• hyperglycemic hyperosmolar nonketotic coma
• magnetic resonance imaging
• status epilepticus