# Non-ketotic Hyperglycemia Presenting as Focal Status Epilepticus and Subsequent Todd’s Paralysis

## TL;DR

An elderly woman with uncontrolled diabetes experienced a seizure and temporary paralysis, highlighting a rare neurological complication of non-ketotic hyperglycemia.

## Contribution

This case report adds to the understanding of focal status epilepticus and Todd’s paralysis in non-ketotic hyperglycemia.

## Key findings

- A 75-year-old woman with no prior epilepsy presented with focal status epilepticus.
- The patient developed Todd’s paralysis following the seizure episode.
- The case highlights the rare neurological presentation of non-ketotic hyperglycemia.

## Abstract

Uncontrolled diabetes can result in many neurological and non-neurological complications. It’s common for hypoglycemia to present as a seizure; however, in cases of hyperglycemia, especially in the absence of ketones, seizures are uncommon. Here, we present a case of a 75-year-old female with no prior history of epilepsy disorder presenting as focal status epilepticus complicated by Todd’s paralysis. We are describing the case with a review of the current literature.