Initial manifestation of type I diabetes mellitus as an unusual cause of early post-operative seizures

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064203%3A_____%2F16%3A10324777" target="_blank" >RIV/00064203:_____/16:10324777 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11130/16:10324777

Result on the web

<a href="http://dx.doi.org/10.1684/epd.2016.0827" target="_blank" >http://dx.doi.org/10.1684/epd.2016.0827</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1684/epd.2016.0827" target="_blank" >10.1684/epd.2016.0827</a>

Result language

angličtina

Original language name

Initial manifestation of type I diabetes mellitus as an unusual cause of early post-operative seizures

Original language description

We present a case of an 18-year-old patient who underwent resective epilepsy surgery for intractable epilepsy caused by focal cortical dysplasia. In the early post-surgical period, the patient started experiencing atypical seizures refractory to antiepileptic treatment. In due course, abnormally low levels of blood sodium and extremely high levels of blood glucose were discovered. Significant hyperglycaemia was initially ascribed to steroid-induced diabetes, and antibodies specific to type I diabetes mellitus were subsequently detected, confirming the diagnosis. Following stabilization of glucose and electrolyte levels, the patient became seizure-free. To our knowledge, this is the first report of presentation of type I diabetes as the cause of early post-operative seizures. We discuss less common aetiologies of seizures in the early post-operative period, including metabolic disturbances. Based on our experience, we stress the importance of electrolyte and glucose monitoring in the setting of acute post-operative seizures.

Czech name

—

Czech description

—

Type

J_x - Unclassified - Peer-reviewed scientific article (Jimp, Jsc and Jost)

CEP classification

FH - Neurology, neuro-surgery, nuero-sciences

OECD FORD branch

—

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2016

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Epileptic Disorders

ISSN

1294-9361

e-ISSN

—

Volume of the periodical

18

Issue of the periodical within the volume

2

Country of publishing house

FR - FRANCE

Number of pages

5

Pages from-to

211-215

UT code for WoS article

000378262900012

EID of the result in the Scopus database

2-s2.0-84976394881