Journal of Pediatric Epilepsy 2020; 09(02): 048-050
DOI: 10.1055/s-0040-1710043
Case Report
Georg Thieme Verlag KG Stuttgart · New York

A Case Report of Idiopathic Ketotic Hypoglycemia Masquerading as Epilepsy

1  Department of Pediatrics, Star Children's Hospital, Karim Nagar, Telangana, India
,
Krishna Chaithanya Battu
1  Department of Pediatrics, Star Children's Hospital, Karim Nagar, Telangana, India
,
Prashanthi Mandapuram
2  Department of Pediatrics, Prathima Institute of Medical Sciences, Karim Nagar, Telangana, India
,
Laxman Kumar Ch
2  Department of Pediatrics, Prathima Institute of Medical Sciences, Karim Nagar, Telangana, India
› Author Affiliations
Funding None.
Further Information

Publication History

06 January 2020

25 March 2020

Publication Date:
23 April 2020 (online)

Abstract

Idiopathic ketotic hypoglycemia (IKH) is characterized by recurrent neurohypoglycemic symptoms with ketosis. Hypoglycemic episodes typically occur during early mornings, especially either with illness and/or prolonged fasting. We reported a case of IKH which presented with recurrent episodes of seizures during early morning with intercurrent illness and which was labeled as epilepsy and started on antiepileptic medication. The purpose of this case report is to alert clinicians about this condition, which is not an uncommon entity, but rarely thought of. Therefore, in view of keeping the IKH in mind, which can be prevented with proper diet advice during illness, unnecessary long-term antiepileptic therapy can be avoided.

Authors' Contributions

S.C.D. took part in case management, follow-up, and drafted the manuscript; K.C. contributed in case management; P.M. contributed in literature review and designed the manuscript; L.K.C. performed the literature review and reviewed the manuscript.