Isolated Aphasic Status Epilepticus as a Manifestation Induced by Hyperglycemia Without Ketosis
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Bibliographic record
Abstract
Diagnosis of aphasic status epilepticus (ASE) is very difficult, because the literature containing, to our knowledge, isolated non-ketotic hyperglycemia (NKH)-related ASE has reported only three cases. Although most cases are associated with organic brain lesions accompanying other clinical seizure activity, NKH-related ASE is rarer. We describe a rare case of NKH presenting initially as persistent and isolated ASE. Brain magnetic resonance imaging (MRI) did not reveal any focal lesion, but ictal electroencephalography (EEG) disclosed diffuse continuous theta to delta waves, intermingled with epileptiform discharges. Only correcting the hyperglycemia could not improve the language disorder completely, and the seizure was controlled only by the addition of phenytoin immediately. Patients with NKH may initially present with isolated ASE. Unlike stroke-related aphasia, accurate diagnosis is difficult if based solely on neurologic examination and brain neuroimaging. Use of EEG and blood sugar determination should be helpful in this special case. Prompt treatment including correcting the hyperglycemia would substantially improve the outcomes of NKH but might be insufficient. Additional prompt use of antiepileptic drugs might be potentially more effective. J Neurol Res. 2016;6(4):85-88 doi: http://dx.doi.org/10.14740/jnr395w
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it