실어증발작으로 나타난 비케톤성 고혈당증 = Aphasic Seizure as a Manifestation of Non-Ketotic Hyperglycemia

다국어 초록 (Multilingual Abstract)

Non-ketotic hyperglycemia (NKH) is often related to various types of epileptic seizures. However, aphasic seizures associated with NKH have been rarely reported. A 60-year-old diabetic woman was admitted with language disturbance. She presented recurrent motor aphasia and EEG demonstrated ictal rhythmic discharges initiated from left frontal lobe. The seizures disappeared after introduction of carbamazepine and successful control of serum glucose. She remained seizure-free for three months after discharge. We report a case of NKH, manifested by aphasic seizures.

참고문헌 (Reference)

1 김도형, "측두엽 복합 부분 발작의 비경련성 간질 중첩증으로 나타난 비케톤성 고혈당증 1예" 대한신경과학회 24 (24): 359-363, 2006

2 Scherer C., "Seizures and non-ketotic hyperglycemia" 34 : 1084-1086, 2005

3 Huang CW, "Nonketotic hyperglycemia-related epilepsia partialis continua with ictal unilateral parietal hyperperfusion" 46 : 1843-1844, 2005

4 Maccario M, "Neurological dysfunction associated with nonketotic hyperglycemia" 19 : 525-534, 1968

5 Hennis A, "Focal seizures and non-ketotic hyperglycaemia" 55 : 195-197, 1992

6 Grant C, "Focal epilepsy in diabetic non-ketotic hyperglycaemia" 290 : 1204-1205, 1985

7 Batista MS, "Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia. Case report" 56 : 296-299, 1998

8 Kim HY, "A Case of aphasic status with brain 99m-Tc ethyl cysteinate diethylester single photon emission computed tomography demonstrating focal hyperperfusion" 18 : 333-336, 2000