目的： 通过报道1例非酮症高血糖枕叶癫痫发作患者的症状、脑电图、影像学特征及转归，旨在提高临床上对该病的认识。方法： 收集1例2019年3月就诊于山西医科大学第一医院诊断为非酮症高血糖枕叶癫痫发作患者的症状、病程经过、诊治和随访，同时回顾以往病例报道，总结其诊疗特点。结果： 本病例主要表现为眼前闪光、视物变形及左侧视野缺损，伴或不伴局灶性癫痫发作，化验提示随机血糖为20.56 mmol·L^-1，糖化血红蛋白10.07%，尿酮体阴性，头颅核磁共振T2像提示右侧顶枕叶皮层高信号，皮层下白质低信号，脑电图痫样波未见明确起源。经控制血糖及对症治疗后随访4个月内未再出现癫痫发作、视野缺损、变形及闪光等症状，复查头颅核磁共振右侧顶枕区异常信号消失。结论： 临床医生应提高对该病的认识，中老年高血糖患者初发急性症状性枕叶癫痫发作时，需高度怀疑高血糖枕叶癫痫发作的可能，尤其应重视随机血糖、尿酮体筛查及影像学检查，并早期给予降糖治疗。

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