A clinical analysis of epilepsy in non-ketotic hyperglycaemia

CHEN Yangmei; et al

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A clinical analysis of epilepsy in non-ketotic hyperglycaemia

更新时间：2024-01-17

- A clinical analysis of epilepsy in non-ketotic hyperglycaemia
- Journal of Chongqing Medical University Issue 4, Pages: 478-479(2002)
- 作者机构：
  
  1. 重庆医科大学第二临床学院神经内科
  2. 重庆医科大学临床学院涉外病房
  3. 重庆医科大学第二临床学院神经内科,重庆,400010
  4. ,重庆,400016
- 作者简介：
- 基金信息：
- DOI：
  CLC： R742.1
- Published：2002，
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[1]陈阳美,李晋芳,吕洋,胡常林.非酮症糖尿病癫痫临床分析[J].重庆医科大学学报,2002(04):478-479+482.

CHEN Yangmei, et al. A clinical analysis of epilepsy in non-ketotic hyperglycaemia. [J]. Journal of Chongqing Medical University (4):478-479(2002)
[1]陈阳美,李晋芳,吕洋,胡常林.非酮症糖尿病癫痫临床分析[J].重庆医科大学学报,2002(04):478-479+482. DOI：

CHEN Yangmei, et al. A clinical analysis of epilepsy in non-ketotic hyperglycaemia. [J]. Journal of Chongqing Medical University (4):478-479(2002) DOI：

摘要

目的：探讨非酮症糖尿病性癫痫的临床规律，提高早期诊断率。方法：对20例非酮症糖尿病性癫痫的临床资料进行回顾性分析。结果：12例糖尿病性患者在血糖控制不理想状态下发生癫痫，8例患者以癫痫作为糖尿病的首发症状。15例表现为部分运动性发作，占75%。应用胰岛素积极控制血糖是主要治疗措施，避免应用苯妥英钠。结论：提高对本病的认识，早期诊断，降低血糖是控制癫痫发作的关键。

Abstract

Objective: To discover the clinical characteristics of epilepsy in non-ketotic hyperglycaemia and improve the diagnostic accuracy in early stage. Methods: The clinical data of 20 patients with epilepsy in non-ketotic hyperglycaemia were studied retrospectively. Results: Twelve patients had recurrent episodes of seizure when glycaemic control was lost. In eight cases diabetes mellitus was a new diagnosis. Glycemic levels varied from 17.2 to 31.1 mmol/L. Fifteen patients with focal seizures accounted for 75%. Seizure control occurred after insulin treatment

no patients benefited with phenytoin. Conclusion:It is important to increase the knowledgc of epilepsy in non-ketotic hyperglycaemia and early diagnose and insulin treatment are essential in controlling seizures.

关键词

糖尿病非酮症高血糖癫痫

Keywords

diabetesNon-ketotic hyperglycaemiaepilepsy

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Department of Endocrinology，The First Affiliated Hospital of Army Medical University

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Department of Endocrinology,The Second Affiliated Hospital of Army Medical University

Department of Neurology，Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases，National Key Clinical Department and Key Discipline of Neurology， The First Affiliated Hospital，Sun Yat-sen University

Department of Neurology，The Third Affiliated Hospital of Zunyi Medical University/The First People’s Hospital of Zunyi

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