Premium
“Non‐convulsive status epileptics associated with diabetic ketosis: Case report and literature review”
Author(s) -
Kamath Sneha Dayanand,
Manisha Gupta,
Lanka Vivek,
Holla Vikram Venkappayya,
Saini Jitender,
Netravathi M.
Publication year - 2021
Publication title -
neurology and clinical neuroscience
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.125
0ISSN - 2049-4173
DOI - 10.1111/ncn3.12536
Subject(s) - medicine , status epilepticus , ictal , epilepsy , hyperintensity , pediatrics , electroencephalography , anesthesia , magnetic resonance imaging , psychiatry , radiology
New‐onset seizures in the elderly are a challenging presentation in the emergency department. Most of the cases have reported seizures on a background of non‐ketotic hyperglycemia. We hereby present an elderly patient with non‐convulsive status epilepticus (NCSE) following ketotic hyperglycemia. Patient presented with visual disturbances in the form of episodic polyopsia, metamorphopsia, and visual hallucinations for 2 weeks. MRI brain showed T2 and FLAIR hyperintensity in left occipito‐temporal cortex with subcortical hypointensity. EEG revealed spikes in bilateral occipito‐temporal regions suggestive of NCSE. Patient showed gradual improvement with correction of hyperglycemia. In conclusions, non‐convulsive status epilepticus is an important consideration in an elderly diabetic with recent onset of confusional state.