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

页码：513 / 516

页数：4

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