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Published on: January 26, 2024
Paroxysmal sympathetic hyperactivity secondary to hypoglycemic encephalopathy: A case report
Yushi Kohzuki1, Junpei Yamamoto1, Yuki Kaminaga1
1Division of Diabetes, Metabolism and Endocrinology, Osaki Citizen Hospital, Osaki, Japan.
Abstract:
A 48-year-old male was admitted to our hospital due to a hypoglycemic coma. Although his blood glucose level was increased after glucose administration, his impaired consciousness persisted. Magnetic resonance imaging indicated hypoglycemic encephalopathy. On hospital Day 4, he exhibited paroxysmal hypertension, tachycardia, hyperthermia, tachypnea, excessive diaphoresis, and hyperglycemia. Cerebrospinal fluid analysis and electroencephalography were nonspecific, suggesting paroxysmal sympathetic hyperactivity (PSH) secondary to hypoglycemic encephalopathy. Although PSH following hypoglycemic encephalopathy is rare, clinicians should be aware of its possibility to enable timely intervention and improve prognosis.
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