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Forced eye closure-induced reflex seizure and non-ketotic hyperglycemia
Raziye Tiras1, Aytul Mutlu, Serkan Ozben
1Department of Neurology, Haseki Educational and Research Hospital, Istanbul, Turkey.
Abstract:
We report an uncommon case of 53-year-old female patient with partial seizure induced by forced voluntary eye closure due to non-ketotic hyperglycemia. The initial laboratory tests showed an elevated blood glucose level of 550 mg/dL but no evidence of ketosis. Brain magnetic resonance imaging was normal. When the blood glucose levels decreased slowly to about 150 mg/dL in five days, the seizures ended completely. No anticonvulsants were used. Since seizures are generally refractory to antiepileptic medication, control of blood glucose is essential.
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