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CC BY-NC-ND 4.0 · International Journal of Epilepsy 2014; 01(01): 036-038
DOI: 10.1016/j.ijep.2014.04.003
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Proprioceptive-induced seizure in diabetic non-ketotic state: A video case report

Salvadeeswaran Meenakshi-Sundaram
a   Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
,
Somalinga Nagendran Karthik
a   Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
,
Krishnan Swaminathan
b   Department of Endocrinology, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
,
Thembavani Rajavel
a   Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
,
Amala Dharmapillai
a   Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
,
Bharathi Sundar
a   Department of Neurosciences, Apollo Speciality Hospitals, Madurai, Tamil Nadu 625 020, India
› Author Affiliations
Subject Editor:
Further Information

Publication History

Received: 04 February 2014

Accepted: 23 April 2014

Publication Date:
04 May 2018 (online)

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Abstract

A 63-year-old diabetic gentleman with proprioceptive-induced seizures is reported. Marked hyperglycemia due to discontinuation of anti-diabetic medication was the precipitating cause. Distinctive clinical feature of this case was recurrent focal motor seizures involving the left upper limb precipitated by volitional movements of the same limb and self-aborted by holding the affected limb with the contralateral limb. This was accompanied by left brachial weakness without corresponding lesions on cranial MRI. Despite rapid achievement of euglycemia, seizures persisted and required anticonvulsant polytherapy for effective control.

Keywords

Diabetic non-ketotic state - Proprioceptive-induced seizures - Reflex epilepsy
 

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