Katie M. Kinnear, Nicole M. Warner, Alan M. Haltiner, Michael J. Doherty
{"title":"Continuous monitoring devices and seizure patterns by glucose, time and lateralized seizure onset","authors":"Katie M. Kinnear, Nicole M. Warner, Alan M. Haltiner, Michael J. Doherty","doi":"10.1016/j.ebcr.2018.03.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><p>To investigate if glucose levels influence seizure patterns.</p></div><div><h3>Materials and methods</h3><p>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.</p></div><div><h3>Results</h3><p>Left focal seizure (LFS, 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).</p></div><div><h3>Conclusion</h3><p>Seizure onset laterality and spread vary with glucose and time of seizure.</p></div>","PeriodicalId":56365,"journal":{"name":"Epilepsy and Behavior Case Reports","volume":"10 ","pages":"Pages 65-70"},"PeriodicalIF":0.0000,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ebcr.2018.03.001","citationCount":"4","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epilepsy and Behavior Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2213323217301536","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 4
Abstract
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 (LFS, 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.
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