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Hypoglycemic coma associated with brain infarcts.

R B Chinnapongse1, I R Odderson, R J Johnson

  • 1Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, USA; Overlake Hospital Medical Center, Bellevue, WA, USA.

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
|September 27, 2007
PubMed
Summary
This summary is machine-generated.

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Hypoglycemia can mimic stroke symptoms, leading to misdiagnosis. This case highlights how severe hypoglycemia in a diabetic patient caused stroke-like symptoms that resolved with glucose treatment.

Area of Science:

  • Neurology
  • Endocrinology
  • Metabolic Disorders

Background:

  • Hypoglycemic hemiplegia is a rare neurological complication of low blood glucose.
  • It can present with stroke-like symptoms, leading to diagnostic challenges.

Purpose of the Study:

  • To report a case of hypoglycemic hemiplegia in a patient with insulin-dependent diabetes.
  • To discuss the potential link between hypoglycemia and stroke development.

Main Methods:

  • Case report of a 27-year-old male with insulin-dependent diabetes.
  • Clinical presentation, diagnostic workup, and treatment of hypoglycemic coma and hemiplegia.

Main Results:

  • The patient experienced right hemispheric infarcts and left hemiplegia during hypoglycemic coma.

Related Experiment Videos

  • Neurological deficits resolved upon correction of hypoglycemia.
  • Conclusions:

    • Hypoglycemia should be considered in the differential diagnosis of acute neurological deficits, especially in diabetic patients.
    • Further research is needed to elucidate the mechanisms by which hypoglycemia may contribute to stroke.