Non-ketotic Hyperglycemia And Recurrent Seizures.
Nagaraja D; Taly AB; Rao TV; Joshy EV Departments of Neurology and Neuropathology, National Institute of Mental Health & Neuro Sciences, Bangalore - 560 029, India. Non-ketotic hyperglycemia and recurrent seizures. NIMHANS Journal. 1996 Jan; 14(1): 9-13 ABSTRACT: Non-ketotic hyperglycemia (NKHC) is an important cause of recurrent convulsions in the middle aged and elderly persons. Thirty-two patients (17 men, 15 women) with an average age of 58.6 yrs with recurrent convulsions and NKHC admitted to NIMHANS over a period of 8 years are discussed here. Fifteen patients were known hypertensives and fourteen patients were known diabetics, on irregular medication. Four persons had a history of TIA / RIND and 5 persons had seizures some time in their past. Twenty-nine persons presented with recurrent focal motor seizures with or without generalization while only 3 patients presented with generalized seizures. Hyperglycemia (average blood sugar 542 mg) and hyperosmolarity (average 322) were observed in all. Seizures were controlled only after control of metabolic parameters. Radiological investigations - CT (7), angiogram (5) and partial autopsy of the brain (3) did not reveal any evidence Continue reading >>