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KMID : 1031120140040010028
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Journal of Epilepsy Research
2014 Volume.4 No. 1 p.28 ~ p.30
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Recurrent Seizures Following Focal Motor Status Epilepticus in a Patient with Non-Ketotic Hyperglycemia and Acute Cerebral Infarction
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Lee Jung-Ju
Jung Jin-Woong
Kang Kyu-Sik
Park Jong-Moo
Shin Hye-Eun
Kwon Oh-Yun
Kim Byung-Kun
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Abstract
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Focal motor status epilepticus (FMSE) is often associated non-ketotic hyperglycemia (NKH). There are no previous reports describing FMSE with NKH that was accompanied by an acute cerebral infarction and its long term follow-up result. We describe the case of a patient having focal motor status epilepticus (FMSE) associated with non-ketotic hyperglycemia (NKH) and acute cerebral infarction who later developed recurrent unprovoked seizures. A small acute infarct was observed in the left frontal subcortical area on diffusion-weighted images (DWI). FMSE was initially controlled with short term antiepileptic drugs and strict glucose control. Two years later, recurrent seizures occurred, and long-term antiepileptic drug treatment was administered. DWI should be considered for acute cerebral infarction in patients having FMSE associated with NKH, and careful follow-up should be conducted for such patients.
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KEYWORD
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Status epilepticus, Hyperglycemia, Diffusion-weighted image
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