Very low cerebral glucose level despite normal systemic glucose level in a patient with subarachnoid haemorrhage

In this case report, data are presented from a patient, who suffered from a severe subarachnoid haemorrhage and was admitted to the neuro-intensive care unit, where the use of cerebral microdialysis (CMD) allowed the detection of a severe mismatch between cerebral and systemic glucose levels and compromised cerebral metabolism despite systemic glucose values within the normal range. The established CMD monitoring allowed subsequent titration of insulin respecting acceptable cerebral and systemic glucose levels.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:181

Enthalten in:

Ugeskrift for laeger - 181(2019), 50 vom: 09. Dez.

Sprache:

Dänisch

Beteiligte Personen:

Nielsen, Frederik Mølgaard [VerfasserIn]
Haure, Pernille [VerfasserIn]
Madsen, Jacob [VerfasserIn]
Nielsen, Birgitte Steenfeldt [VerfasserIn]
Bjarkam, Carsten Reides [VerfasserIn]

Themen:

Case Reports
Glucose
IY9XDZ35W2
Insulin
Journal Article

Anmerkungen:

Date Completed 06.04.2020

Date Revised 08.04.2020

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM305077627