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Hemiplegia hypoglycaemia syndrome

D Vanpee1, J Donckier, J B Gillet

  • 1Department of Emergency Medicine, Université Catholique de Louvain, Clinique de Mont-Godinne, Yvoir, Belgium.

European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine
|August 26, 1999
PubMed

We report the case of a 83-year-old man who presented to the emergency department with hypoglycaemia resembling a cerebrovascular accident. Hypoglycaemic hemiparesis is an under-recognized manifestation of hypoglycaemia. If not recognized and treated promptly, hypoglycaemia may cause irreversible central nervous system injury; it rarely results in death. It is imperative that emergency physicians consider hypoglycaemia in all patients with coma in spite of focal neurological deficit even when the findings seem to be explained initially by other aetiologies.

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