Hypoglycemic Encephalopathy With Delayed Lesion on Magnetic Resonance Imaging.
- Author:
Myung Goo JI
1
;
Kwang Ki KIM
;
Hyung Suk SEO
;
Sang Wuk JEONG
;
Dong Eog KIM
Author Information
1. Department of Neurology, Dongguk University International Hospital,Dongguk University College of Medicine, Goyang, Korea. totopia@duih.org
- Publication Type:Case Report
- Keywords:
Hypoglycemia;
Coma;
Diffusion-weighted MRI
- MeSH:
Basal Ganglia;
Coma;
Diffusion;
Edema;
Glucose;
Humans;
Hypoglycemia;
Magnetic Resonance Imaging;
Magnetic Resonance Spectroscopy;
Magnetics;
Magnets;
Middle Aged;
Neuroimaging
- From:Journal of the Korean Neurological Association
2008;26(3):263-266
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report on delayed emergence of restricted diffusion on MRI after hypoglycemia. A 56-year-old man with type 2 diabetes was admitted with mental change. Initial serum glucose was 19 mg/dl. Fifteen hours after presumed symptom onset, brain imaging did not show any definite abnormality. However, areas of restricted diffusion emerged evident in both basal ganglia 9 days later. Hypoglycemia can cause delayed cytotoxic edema even after normalization of the serum glucose.
