Arquivos de Neuro-Psiquiatria
On-line version ISSN 1678-4227
BATISTA, MARCUS SABRY AZAR; SILVA, DÉLRIO FAÇANHA; FERRAZ, HENRIQUE BALLALAI and ANDRADE, LUIZ AUGUSTO FRANCO DE. Complex partial seizures and aphasia as initial manifestations of non-ketotic hyperglycemia: case report. Arq. Neuro-Psiquiatr. [online]. 1998, vol.56, n.2, pp.296-299. ISSN 1678-4227. http://dx.doi.org/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.
Keywords : aphasia; seizures; diabetes mellitus.