HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Correspondence: Submit a response Alert me when this article is cited Alert me when Correspondence are posted Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Brick, J. F. Articles by Ringel, R. A. Search for Related Content PubMed PubMed Citation Articles by Brick, J. F. Articles by Ringel, R. A.

Reflex epilepsy and nonketotic hyperglycemia in the elderly

A specific neuroendocrine syndrome

Department of Neurology, West Virginia University School of Medicine, Morgantown, WV (Drs. Brick and Ringel)
Lahey Clinic Medical Center, Burlington, MA. (Dr. Gutrecht)

We present five elderly patients with focal reflex or posture-induced seizures and nonketotic hyperglycemia (NKH). Each patient exhibited interictal focal findings, such as hemiparesis or hemisensory or aphasic deficits. With control of the hyperglycemia, the seizures stopped, and the neurologic deficits resolved. The syndrome of focal reflex epilepsy and neurologic deficits in the elderly is transient and almost invariably related to NKH, thus representing a specific neuroendocrine syndrome.

Address correspondence and reprint requests to Dr. Brick, Department of Neurology, West Virginia University School of Medicine, Morgantown, WV 26506.

Presented in part at the fortieth annual meeting of the American Academy of Neurology, Cincinnati, OH, April 1988.

Received July 19, 1988. Accepted for publication in final form September 27, 1988.