Non-convulsive status epilepticus characterised exclusively by a language disorder induced by non-ketotic hyperglycaemia

Stefano Pro, Franco Randi, Patrizia Pulitano, Edoardo Vicenzini, Oriano Mecarelli

Research output: Contribution to journalArticle

Abstract

Non-ketotic hyperglycaemia is an endocrine emergency characterised by elevated blood glucose levels and high plasma osmolarity. While hypoglycaemia-induced seizures are usually generalised, hyperglycaemia-induced seizures are often focal and secondary to the presence of brain lesions. Moreover, in the few studies in which language disorders of epileptic origin have been reported as a clinical manifestation of non-ketotic hyperglycaemia, the disorders were usually not isolated but were followed by partial motor seizures. We describe a patient who presented with non-convulsive partial status epilepticus and whose only sign was a fluctuating language disorder induced by non-ketotic hyperglycaemia. There were no accompanying brain lesions and the patient responded optimally to diazepam. Neurophysiological EEG evaluation was fundamental for the diagnosis.

Original languageEnglish
Pages (from-to)193-196
Number of pages4
JournalEpileptic Disorders
Volume13
Issue number2
DOIs
Publication statusPublished - Jun 2011

Keywords

  • non-ketotic hyperglycaemia
  • partial status epilepticus
  • transient language disorders

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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