Proprioceptive-induced seizure in diabetic non-ketotic state: A video case report

Author:

Meenakshi-Sundaram Salvadeeswaran1,Nagendran Karthik Somalinga1,Swaminathan Krishnan2,Rajavel Thembavani1,Dharmapillai Amala1,Sundar Bharathi1

Affiliation:

1. Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India

2. Department of Endocrinology, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India

Abstract

AbstractA 63-year-old diabetic gentleman with proprioceptive-induced seizures is reported. Marked hyperglycemia due to discontinuation of anti-diabetic medication was the precipitating cause. Distinctive clinical feature of this case was recurrent focal motor seizures involving the left upper limb precipitated by volitional movements of the same limb and self-aborted by holding the affected limb with the contralateral limb. This was accompanied by left brachial weakness without corresponding lesions on cranial MRI. Despite rapid achievement of euglycemia, seizures persisted and required anticonvulsant polytherapy for effective control.

Publisher

Georg Thieme Verlag KG

Subject

Neurology (clinical)

Reference8 articles.

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5. Neuroimaging in seizure patients associated with nonketotic hyperglycemia;Chen;Neuroradiol J,2011

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