Lee Jung-Ju, Jung Jinwoong, Kang Kyusik, Park Jong-Moo, Shin Hyeeun, Kwon Ohyun, Kim Byung-Kun
Department of Neurology, Eulji General Hospital, Eulji University College of Medicine, Seoul, Korea.
J Epilepsy Res. 2014 Jun 30;4(1):28-30. doi: 10.14581/jer.14007. eCollection 2014 Jun.
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.
局灶性运动性癫痫持续状态（FMSE）常与非酮症高血糖（NKH）相关。此前尚无关于伴有急性脑梗死的FMSE合并NKH及其长期随访结果的报道。我们描述了一例患有与非酮症高血糖（NKH）和急性脑梗死相关的局灶性运动性癫痫持续状态（FMSE）的患者，该患者后来出现了反复发作的无诱因癫痫。在扩散加权成像（DWI）上，左侧额叶皮质下区域观察到一个小的急性梗死灶。FMSE最初通过短期抗癫痫药物和严格的血糖控制得以控制。两年后，癫痫复发，并给予了长期抗癫痫药物治疗。对于患有与NKH相关的FMSE的患者，应考虑进行DWI以排查急性脑梗死，并且应对此类患者进行密切随访。
