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    Epilepsy Behav. 2010 Nov;19(3):533-5. Epub 2010 Oct 8.

    Nonketotic hyperglycemia-related reflex epileptic seizures induced by Mah-Jong playing.

    Wu YJ, Tsai JJ, Huang CW.

    Source

    Department of Neurology, National Cheng Kung University Hospital, Tainan, Taiwan.

    Abstract

    Seizures related to nonketotic hyperglycemia (NKH) are often encountered in clinical practice. Among such seizures, reflex seizures are rare, and most of them are movement-induced focal seizures. We describe five patients with NKH and reflex seizures induced exclusively by playing Mah-Jong, a traditional and popular game in Chinese society. Four patients had partial seizures and one had a generalized seizure. All the patients manifested NKH on occurrence of the seizure. During Mah-Jong in the presence of NKH, seizures could arise from the frontal and temporal lobes, which are highly activated during the game. Both avoidance of Mah-Jong playing and control of glucose intake help prevent this disorder.

    Copyright © 2010 Elsevier Inc. All rights reserved.

    PMID:
    20934919
    [PubMed - indexed for MEDLINE]

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