Focal Seizures and Hyperglycemia

Abstract

The case presented here illustrates the cerebral consequences of hyperosmotic nonketotic coma. A 49 year old Negro man had a blood sugar of 703 mg per 100 ml and a serum sodium of 151 mEq per liter, but negative serum and urine acetone. Death followed a six day course complicated by hemiparesis on the right side, right central facial weakness, and left-sided seizures.