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目的:探讨非酮症高血糖癫痫发作的临床特点。方法:对我院收治的5例非酮症高血糖癫痫发作患者的临床资料作回顾性分析。结果:5例患者血糖24～34mmol/L;其中,1例为全面性发作,其余4例为部分运动性发作;5例MRI均表现为豆状核、尾状核异常改变;4例患者脑电图异常。无糖尿病史患者症状表现较重。经胰岛素积极降血糖,癫痫得到有效控制。结论:非酮症高血糖癫痫发作患者血糖明显升高,豆状核、尾状核出现MRI异常信号,可有脑电图异常,降低血糖是控制血糖的有效方法。
Objective: To investigate the clinical features of nonketotic hyperglycemic seizures. Methods: The clinical data of 5 nonketotic hyperglycemic seizures patients treated in our hospital were retrospectively analyzed. Results: Five patients had a blood glucose level of 24-34mmol / L. Among them, one had a generalized attack and the other four had partial motor attacks. Five of the five patients showed abnormalities of lentiform nucleus and caudate nucleus. Four patients had brain abnormalities Abnormal electrogram. Patients without a history of diabetes have worse symptoms. The active hypoglycemic insulin, epilepsy be effectively controlled. Conclusion: In patients with non-ketotic hyperglycemic seizures, blood glucose is significantly increased. MRI abnormalities in lentiform nucleus and caudate nucleus may lead to abnormal EEG. Reducing blood glucose is an effective way to control blood sugar.