Persistent hypoglycemic hemiplegia: A case report
Journal of the Korean Neurological Association
;
: 237-240, 1997.
Article
in Korean
| WPRIM
| ID: wpr-218020
ABSTRACT
Hypoglycemia sometimes manifests as focal neurologic deficits simulating cerebrovascular disease. Symptoms are usually resolved by glucose infusion, but persistent hemiplegia is rarely reported. A 68-year-old diabetic woman on oral hypoglycemic agent(OHA) was admitted with right hemiplegia and global aphasia. Blood glucose level was 29 mg/dl on admission. No evidence of cerebral infarct or underlying brain disease could be found on initial brain CT and follow up MRI. Focal stenosis or occlusion was also absent on MR angiography. Hemiplegia and aphasia were not improved despite adequate therapy. Hypoglycemic hemiplegia should be suspected in all diabetic patients using insulin or OHA with stroke-like episode, and we suggest that prolonged hypoglycemia may be related to persistence of neurologic deficits.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Aphasia
/
Blood Glucose
/
Brain
/
Brain Diseases
/
Magnetic Resonance Imaging
/
Angiography
/
Follow-Up Studies
/
Constriction, Pathologic
/
Glucose
/
Hemiplegia
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Neurological Association
Year:
1997
Type:
Article
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