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A Confusing Coincidence: Neonatal Hypoglycemic Seizures and Hyperekplexia
Author(s) -
Nihat Demir,
Murat Doğan,
Sanem Yılmaz,
Erdal Peker,
Keziban Bulan,
Oğuz Tuncer
Publication year - 2014
Publication title -
case reports in medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.2
H-Index - 20
eISSN - 1687-9627
pISSN - 1687-9635
DOI - 10.1155/2014/595412
Subject(s) - medicine , epilepsy , glycine receptor , neuroscience , inhibitory postsynaptic potential , clonazepam , glycine , anesthesia , psychiatry , psychology , genetics , biology , amino acid
Hyperekplexia is a rare, nonepileptic, genetic, or sporadic neurologic disorder characterized by startle responses to acoustic, optic, or tactile stimuli. Genetic defects in glycine receptors as well as encephalitis, tumors, inflammation, and disgenesis are among the etiologic causes of the disease. The main problem in hyperekplexia is the incomplete development of inhibitory mechanisms or exaggerated stimulation of excitatory mediators. Hyperekplexia is often confused with epileptic seizures. Here we present a case with hypoglycemic convulsions coexisting with hyperekplexia, causing diagnostic difficulty.

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