ESPE Abstracts (2019) 92 P3-143

The Convulsions Maze: Epilepsy Versus Hypoglycemia

Dina fawzy

Alexandria University Children's Hospital, alexandria, Egypt

Introduction: Diagnosing a seizure can be tricky. The first thing a doctor should do is to rule out other conditions, such as non-epileptic seizures. One of these conditions may be metabolic disturbance as hypoglycemia. Growth hormone deficiency is commonly presented with short stature during childhood .hypoglycemia is a rare presentation of the disease.

Case report: a four year and seven months male child, diagnosed as a case of epilepsy due to focal convulsions since the age of 2 years and was on antiepileptic drugs being uncontrolled so parents sought another medical advice where the occurrence of hypoglycemic attacks were identified and doctors thought about being a case of inborn error of metabolism and investigations were done. He presented to us by loss of consciousness and very low random blood glucose level was detected, a golden sample of hypoglycemia was withdrawn which revealed a picture of growth hormone deficiency. MRI brain was performed showing hypo-plastic pituitary gland. By starting growth hormone replacement therapy the seizures attacks stopped.

Conclusion: random blood sugar is crucial in any case presented with convulsion as a first step. Golden sample is mandatory in such situations .growth hormone deficiency may presented with hypoglycemia which is quite rare.

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