Hypoglycemia
Hypoglycemic symptoms and manifestations can be divided into those produced by the counterregulatory hormones (epinephrine/adrenaline and glucagon) triggered by the falling glucose, and the neuroglycopenic effects produced by the reduced brain sugar.Not all of the above manifestations occur in every case of hypoglycemia. There is no consistent order to the appearance of the symptoms, if symptoms even occur. Specific manifestations may also vary by age, by severity of the hypoglycemia and the speed of the decline. In young children, vomiting can sometimes accompany morning hypoglycemia with ketosis. In older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. In the elderly, hypoglycemia can produce focal stroke-like effects or a hard-to-define malaise. The symptoms of a single person may be similar from episode to episode, but are not necessarily so and may be influenced by the speed at which glucose levels are dropping, as well as previous incidents.
Vertiginous epilepsy
In the late 19th century and early 20th century, Hughlings Jackson and W.R. Gowers recognized that episodes of dizziness were a symptom of epilepsy. During this time, when epileptic symptoms were brought to the forefront of study, there was no distinction between dizziness and vertigo. Sir George Frederick (1868–1941), known for his work in pediatric rheumatoid arthritis referred to as Still’s disease, was the first to publish a description of episodic vertigo in children within the broad category of ‘headaches in children’ in 1924. Until recently, it was not widely recognized that episodes of suspected dizziness might be caused by epilepsy.