Continuous monitoring devices and seizure patterns by glucose, time and lateralized seizure onset

被引:4
作者
Kinnear, Katie M. [1 ]
Warner, Nicole M. [1 ]
Haltiner, Alan M. [1 ]
Doherty, Michael J. [1 ]
机构
[1] Swedish Epilepsy Ctr, Seattle, WA USA
关键词
Stimulation; Hypometabolism; Nonketotic; Glucose; Insulin; Circadian;
D O I
10.1016/j.ebcr.2018.03.001
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objectives: To investigate if glucose levels influence seizure patterns. Materials and methods: In a patient with RNS/NeuroPace implanted bi-temporally and type 1 diabetes mellitus, seizure event times and onset locations were matched to continuous tissue glucose. Results: Left focal seizure (IFS, n= 22) glucoses averaged 169 mg/dL, while right focal seizure (RFS, n = 23) glucoses averaged 131 mg/dL (p = 0.03). LFS occurred at mean time 17:02 while RFS occurred at 04:23. LFS spread to the contralateral side (n = 19) more than RFS (n = 2). Conclusion: Seizure onset laterality and spread vary with glucose and time of seizure. (C) 2018 The Authors. Published by Elsevier Inc.
引用
收藏
页码:65 / 70
页数:6
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