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Focal epileptic episodes associated with hypoglycemia in children with diabetes
E Lahat1, J Barr, T Bistritzer
1Pediatric Neurology Unit, Assaf Harofeh Medical Center, Zerifin, Israel.
Clinical Neurology and Neurosurgery
|November 1, 1995
Insights
Hypoglycemia can cause focal neurological deficits in diabetic adults. This study reports seven focal epileptic episodes linked to hypoglycemia in three children with diabetes, a rare occurrence in pediatric cases.
Area of Science:
- Pediatric Neurology
- Endocrinology
- Diabetology
Background:
- Focal neurological deficits are a known complication of hypoglycemia in adult patients with diabetes mellitus.
- The association between hypoglycemia and focal epileptic episodes is infrequently reported in pediatric populations with diabetes.
Observation:
- This case series describes three pediatric patients experiencing a total of seven focal epileptic episodes.
- All observed epileptic episodes were directly associated with documented episodes of hypoglycemia.
Findings:
- The study highlights a rare but significant link between severe hypoglycemia and focal seizures in children with diabetes.
- It underscores the potential for neurological manifestations beyond typical deficits in pediatric diabetic hypoglycemia.
Implications:
- Clinicians should consider hypoglycemia as a potential cause of focal epileptic episodes in children with diabetes.
- This finding may prompt further investigation into the neurophysiological effects of hypoglycemia in pediatric diabetes management.
- Enhanced awareness can improve diagnostic accuracy and timely intervention for these critical events.
Abstract:
Focal neurological deficits associated with hypoglycemia have been well described in adults with diabetes. We could find only one report of the association between focal epileptic episodes and hypoglycemia in children with diabetes. We describe 3 patients with seven focal epileptic episodes associated with hypoglycemia.