Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
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Article Type:
Clinically Speaking
Online Publication Date:
Feb 2002

Clonic Focal Seizure of the Foot Secondary to Nonketotic Hyperglycemia

Louis J. DeCaro DPM1, Michael Reinig DO2, and Bruce T. Croft DPM3
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  • 1 Attending Physician, Podiatric Medicine and Surgery, St Vincent Hospital, 20 Worcester Center Blvd, Worcester, MA 01608-1320.
  • | 2 Submitted during second-year residency, St Vincent Hospital, Worcester, MA.
  • | 3 Director, Division of Podiatry, St Vincent Hospital, Worcester, MA.
DOI:
https://doi.org/10.7547/87507315-92-2-109
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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)