Transient Hypoglycemia-induced Hemiparesis Mimicking Stroke: A Case Report.
10.4266/kjccm.2011.26.3.181
- Author:
Seong Hwa LEE
1
;
Ji Ho RYU
;
Yong In KIM
;
Maeng Real PARK
;
Mun Ki MIN
;
Sun Min HWANG
Author Information
1. Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea.
- Publication Type:Case Report
- Keywords:
hemiparesis;
hypoglycemia;
stroke
- MeSH:
Aged;
Alcoholism;
Blood Glucose;
Cardiovascular Diseases;
Coma;
Diabetes Mellitus;
Emergencies;
Humans;
Hypoglycemia;
Insulin;
Neurologic Manifestations;
Paresis;
Stroke
- From:The Korean Journal of Critical Care Medicine
2011;26(3):181-183
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hypoglycemia is caused by poor oral intake, excessive exercise, alcohol abuse and inaccurate use of a hypoglycemic agent or insulin in patients that have history of diabetes mellitus (DM), especially in the elderly. Severe hypoglycemia has a variety of different symptoms or signs from focal neurologic deficits to severe coma, or death. It can be difficult to differentiate hypoglycemia-induced symptoms or signs, and stroke or cardiovascular disease in acute setting. Transient hypoglycemic hemiparesis is an infrequent case in the emergency department (ED), which is frequently misdiagnosed for stroke. When patients with decreased mental status or hemiparesis are admitted to the ED, a routine blood sugar test is essential. Hypoglycemic hemiparesis if unrecognized can result in permanent neurological damage. Therefore, it is important to detect hypoglycemia early and treat it appropriately.
