"Non‐convulsive status epileptics associated with diabetic ketosis: Case report and literature review". Issue 5 (18th July 2021)

• Record Type: Journal Article
• Authors: Kamath, Sneha Dayanand; Manisha, Gupta; Lanka, Vivek; Holla, Vikram Venkappayya; Saini, Jitender; Netravathi, M.
• Is Part Of: Neurology and clinical neuroscience. Volume 9:Issue 5(2021)
• Page Start: 396
• Page End: 401
• Publication Date: 2021-07-18
• Subjects: diabetic ketosis -- NCSE -- non‐convulsive status epilepticus -- occipital seizures -- seizures in elderly; Neurology -- Periodicals; Neurosciences -- Periodicals; 616.8
• DOI: 10.1111/ncn3.12536
• Languages: English
• ISSNs: 2049-4173

Abstract

Abstract: 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.