Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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| Enthalten in: |
Internal medicine (Tokyo, Japan) - 61(2022), 4 vom: 15. Feb., Seite 513-516 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Sugito, Erika [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Completed 18.02.2022 Date Revised 26.03.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.2169/internalmedicine.7202-21 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM329368907 |
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| 245 | 1 | 0 | |a Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus |
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| 520 | |a A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury | ||
| 650 | 4 | |a Case Reports | |
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| 700 | 1 | |a Ohsugi, Mitsuru |e verfasserin |4 aut | |
| 700 | 1 | |a Tanabe, Akiyo |e verfasserin |4 aut | |
| 700 | 1 | |a Ueki, Kohjiro |e verfasserin |4 aut | |
| 700 | 1 | |a Kajio, Hiroshi |e verfasserin |4 aut | |
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