Bilateral Putaminal Hemorrhage with Cerebral Edema in Hyperglycemic Hyperosmolar Syndrome
Yonsei Medical Journal
;
: 533-535, 2002.
Article
in English
| WPRIM
| ID: wpr-210643
ABSTRACT
Bilateral putaminal hemorrhages rarely occur simultaneously in hypertensive patients. The association of intracerebral hemorrhage with cerebral edema (CE) has been rarely reported in diabetic patients. We present a patient with bilateral putaminal hemorrhage (BPH) and CE during the course of hyperglycemic hyperosmolar syndrome (HHS). A 40-year-old man with a history of diabetes mellitus and chronic alcoholism was admitted with acute impaired mentality. His blood pressure was within the normal range on admission. Laboratory results revealed hyperglycemia and severe metabolic acidosis without ketonuria. After aggressive treatment, plasma sugar fell to 217 mg/dl, but brain CT showed BPH and diffuse CE. Our case demonstrated that HHS should be considered as a cause of BPH with CE. Initial brain imaging study may be recommended for patients with diabetic coma.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Brain
/
Brain Edema
/
Tomography, X-Ray Computed
/
Putaminal Hemorrhage
/
Hyperglycemic Hyperosmolar Nonketotic Coma
Limits:
Adult
/
Humans
/
Male
Language:
English
Journal:
Yonsei Medical Journal
Year:
2002
Type:
Article
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