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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216208:11130/16:10324777

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_x - Nezařazeno - Článek v odborném periodiku (Jimp, Jsc a Jost)

CEP obor

FH - Neurologie, neurochirurgie, neurovědy

OECD FORD obor

—

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2016

Kód důvěrnosti údajů

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

Název periodika

Epileptic Disorders

ISSN

1294-9361

e-ISSN

—

Svazek periodika

18

Číslo periodika v rámci svazku

2

Stát vydavatele periodika

FR - Francouzská republika

Počet stran výsledku

5

Strana od-do

211-215

Kód UT WoS článku

000378262900012

EID výsledku v databázi Scopus

2-s2.0-84976394881