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 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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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)