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Clonic Focal Seizure of the Foot Secondary to Nonketotic Hyperglycemia

Louis J. DeCaro Attending Physician, Podiatric Medicine and Surgery, St Vincent Hospital, 20 Worcester Center Blvd, Worcester, MA 01608-1320.

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Michael Reinig Submitted during second-year residency, St Vincent Hospital, Worcester, MA.

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Bruce T. Croft Director, Division of Podiatry, St Vincent Hospital, Worcester, MA.

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Focal epileptic seizures can be the first manifestation of a diabetic disorder. Metabolic disturbances, including hyperglycemia, mild hyperosmolality, hyponatremia, and lack of ketoacidosis contribute to the development of partial focal seizures. A review of the medical literature for partial focal seizures is presented, followed by a case study of a patient who developed clonic seizures of the right foot secondary to hyperglycemia, hyponatremia, and hyperosmolality. (J Am Podiatr Med Assoc 92(2): 109-111, 2002)