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.
Keywords
idiopathic ketotic hypoglycemia - epilepsy - diet advice
