J Korean Neurol Assoc.  1994 Dec;12(4):740-747.

Three Cases of Generalized Convulsive Status Epilepticus; As Initial Symptom of Nonketotic Hyperglycemia

• Lee JS
• Kim JK
• Kim KW
• Ha JS
• Ha CK
• Lim BH

Abstract

Status epilepticus is commonly defined as a condition characterized by an epileptic seizure that is so frequently repeated or so prolonged as to produce a fixed and enduring epileptic condition. Common etiologies are brain tumor, CNS infection, vascular insults, trauma, withdrawal of antiepileptic drug, and metabolic disturbance such as hypoglycemia, hypocalcemia, hyponatremia and hyperosmolarity caused by hyperglycemia, hypernatremia, and uremic encephalopathy etc. Although some cases of epilepsia partialis continua in the patient with nonketotic hyperglycemia were reported in the previous literature, we could hardly find the report that generalized convulsive status epilepticus was the initial symptom of nonketotic hypergycemia. We recently experienced three eases of nonketotic hyperglycemia who manifested generalized convulsive status epilepticus as a initial clinical feature. Two cases were completely controlled within a few hours after the correction of hyperglycemia and intravenous dilantinization. Another case was needed an additional phenobarbital administration to control the status epilepticus. In all cases, afterthen no further seizure occurred under the normal serum glucose level without use of antiepileptics.

MeSH Terms

Anticonvulsants
Blood Glucose
Brain Neoplasms
Epilepsia Partialis Continua
Epilepsy
Humans
Hyperglycemia*
Hypernatremia
Hypocalcemia
Hypoglycemia
Hyponatremia
Phenobarbital
Phenytoin
Seizures
Status Epilepticus*
Anticonvulsants
Phenobarbital
Phenytoin