非凯托性高糖血症诱导的头反射焦点发作
Helena Buque1,2, Deise Catamo1,2, Catarina Felix2,3
1Neurological Department, Central Hospital of Maputo, Mozambique.
Heliyon
|July 31, 2023
概括
高血糖状态可能导致罕见的焦点,经常被误诊. 抗药不治的发作只有在达到正常血糖水平 (血糖常态) 后才会消失.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 神经症状在高血糖状态中很常见,但它们的病理生理学,特别是发作,尚未完全理解.
- 症状的焦点作为糖尿病相关高血糖症的表现很少被记录.
- 糖尿病昏迷是一种已知的并发症,与高血糖症中出现的积极神经症状不同.
研究的目的:
- 将罕见的焦点病例作为与糖尿病相关的高血糖症的初始表现.
- 突出高血糖引起的发作的诊断挑战和治疗影响.
- 强调血糖控制在控制这种神经症状中的重要性.
主要方法:
- 一个患有焦点的患者的病例报告.
- 诊断工作包括脑电图 (EEG) 和脑磁共振成像 (MRI).
- 治疗的重点是达到血糖正常,并评估抗药物 (AED) 的反应.
主要成果:
- 患者表现出焦点头发作,交替呈现积极和消极的神经症状.
- 脑电图证实了焦点头发作;MRI显示了短暂的头叶异常.
- 发作不耐抗药,但通过正常血糖完全消失.
- 在随访时观察到完全的临床和成像恢复.
结论:
- 与高血糖状态相关的反射焦点是罕见的,容易被误诊.
- 在这种情况下,发作可能会抵抗标准抗治疗.
- 血糖控制对于在高血糖引起的中发作停止和恢复至关重要.
相关概念视频
Seizures: Classification
419
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
419
Hypoglycemia and Glucagon
301
Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
301
Antiepileptic Drugs: Potassium Channel Activators
214
Ezocgabine or retigabine, an antiepileptic drug of remarkable efficacy, has revolutionized the management of seizures. It is a potassium channel activator, explicitly targeting the family of Q subtype potassium channels. It enhances the transmembrane potassium currents, regulating neuronal excitability. This action stabilizes the resting membrane potential, a pivotal factor in mitigating the hyperexcitability that characterizes epilepsy.
Ezogabine has gained approval as an adjunctive treatment...
Ezogabine has gained approval as an adjunctive treatment...
214
Antiepileptic Drugs: Glutamate Antagonists
422
Glutamate is a fundamental neurotransmitter in the central nervous system, playing a vital role in neuronal communication and various cognitive processes. Glutamate stands as the principal excitatory neurotransmitter in the brain. Its presence is crucial for the communication between neurons, underpinning essential processes such as synaptic transmission, neuronal excitability, and plasticity. These functions are vital for higher-order cognitive processes, including learning and memory. The...
422
Inborn Errors of Metabolism
195
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
195


