Batista M S, Silva D F, Ferraz H B, de Andrade L A
Escola Paulista de Medicina (EPM)/Universidade Federal de São Paulo (UNIFESP), Brasil.
Arq Neuropsiquiatr. 1998 Jun;56(2):296-9. doi: 10.1590/s0004-282x1998000200022.
We describe a case of non-ketotic hyperglycemia (NKH), heralded by complex partial seizures and aphasia of epileptic origin, besides versive and partial motor seizures. This clinical picture was accompanied by left fronto-temporal spikes in the EEG. The seizures were controlled by carbamazepine only after the control of the diabetes. A month later, carbamazepine was discontinued. The patient remained without seizures, with normal language, using only glybenclamide. Complex partial seizures, opposed to simple partial seizures, are rarely described in association to NKH. Epileptic activity localized over language regions can manifest as aphasia.
我们描述了一例非酮症高血糖（NKH）病例，除了旋转性和部分性运动性癫痫发作外，还伴有复杂部分性癫痫发作以及源于癫痫的失语症。这种临床表现伴有脑电图左侧额颞叶尖波。仅在糖尿病得到控制后，癫痫发作才被卡马西平控制。一个月后，停用了卡马西平。患者不再发作，语言功能正常，仅使用格列本脲。与简单部分性癫痫发作不同，复杂部分性癫痫发作很少与NKH相关联。定位于语言区域的癫痫活动可表现为失语症。
