Bravais-Jacksonian Epilepsy Associated With Type 2 Diabetes Mellitus

Introduction: Epilepsy associated with diabetes mellitus is very rare, and is seen mainly in type 1 diabetes. The focal forms are exceptional. We report an unusual observation of Bravais-Jacksonian epilepsy (BJE) in type 2 diabetes mellitus. Case report:A 50-year-old woman, who has been diabetic for a year but refuses treatment, was referred to us for high glycaemia (fasting blood glucose at 8.52 mmol/l and postprandial at 13 mmol/l) with recent onset abnormal movements in the upper left limb since a month. There were no degenerative complications of his diabetes. His HbA1C was at 8%. She was treated with metformin and intestinal alpha-glucosidase inhibitors with good evolution. The specialized neurological examination concluded with a BJE of the left arm. Brain imaging and EEG were normal. Epileptic seizures stopped after equilibration of diabetes. Conclusion: Epilepsy remains exceptional and often difficult to diagnose and treat during type 2 diabetes mellitus. Our observation is, to the best of our knowledge, the first to signal such epilepsy associated with type 2 diabetes.