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Related Experiment Videos

Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma.

T Aoki1, T Sato, K Hasegawa

  • 1Department of Neurosurgery, Shiga Medical Center for Adults, Moriyama 5-4-30, Moriyama city, Shiga, Japan. spetzler@hotmail.com

Neurology
|July 28, 2004
PubMed
Summary
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A 73-year-old woman recovered from hypoglycemic coma. Diffusion-weighted MRI revealed reversible hyperintensive lesions after glucose infusion, indicating successful treatment.

Area of Science:

  • Neurology
  • Radiology
  • Endocrinology

Background:

  • Hypoglycemic coma can lead to severe neurological complications.
  • Diffusion-weighted MRI is a sensitive technique for detecting acute ischemic changes in the brain.

Observation:

  • A 73-year-old female patient experienced hypoglycemic coma.
  • Following intravenous glucose administration, the patient recovered without any neurological deficits.

Findings:

  • Admission diffusion-weighted magnetic resonance imaging (MRI) demonstrated hyperintensive lesions in the brain.
  • These lesions showed significant regression after the glucose infusion therapy.

Implications:

  • This case highlights the potential for reversible brain lesions in hypoglycemic coma.

Related Experiment Videos

  • Prompt glucose repletion may prevent permanent neurological damage.
  • Diffusion-weighted MRI is valuable in assessing the impact and resolution of brain injury in metabolic emergencies.