Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus

被引：0
|
作者：
Sugito, Erika [1 ]
Tsujimoto, Tetsuro [1 ,2 ]
Arai, Noritoshi [3 ]
Bouchi, Ryotaro [1 ,4 ]
Ohsugi, Mitsuru [1 ,4 ]
Tanabe, Akiyo [1 ]
Ueki, Kohjiro [1 ,5 ]
Kajio, Hiroshi [1 ]
机构：
[1] Ctr Hosp, Natl Ctr Global Hlth & Med, Dept Diabet Endocrinol & Metab, Tokyo, Japan
[2] Toranomon Hosp Kajigaya, Dept Diabet & Endocrinol, Kawasaki, Kanagawa, Japan
[3] Ctr Hosp, Natl Ctr Global Hlth & Med, Dept Neurol, Tokyo, Japan
[4] Natl Ctr Global Hlth & Med, Diabet Res Ctr, Diabet & Metab Informat Ctr, Res Inst, Tokyo, Japan
[5] Natl Ctr Global Hlth & Med, Diabet Res Ctr, Res Inst, Dept Mol Diabet Med, Tokyo, Japan
来源：
INTERNAL MEDICINE | 2022年 / 61卷 / 04期
关键词：
hypoglycemic encephalopathy; neuronal damage; glucose reperfusion; APPARENT DIFFUSION-COEFFICIENT; REVERSIBLE REDUCTION; STROKE; RISKS;
D O I：
10.2169/internalmedicine.7202-21
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury.
引用
收藏
页码：513 / 516
页数：4
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