Hypoglycemic hemiplegia: two cases and a clinical review.

Foster, Jermaine; HART, R.

doi:10.1161/01.str.18.5.944

Cited by 70 publications

(36 citation statements)

References 16 publications

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“…We should be cautious to prevent hypoglycemia, because it can provoke even hemiparesis (Foster and Hart 1987;Pell and Frier 1990). Actually, diabetic control was improved in most cases in our study, and 2 cases showed hypoglycemic attack.…”

Section: Discussionmentioning

confidence: 61%

Control of Diabetes during Rehabilitation for Diabetic Stroke.

Sato

Hiwatari

1994

Tohoku J. Exp. Med.

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Changes of diabetic control during rehabilitation therapy was studied retrospectively in 33 cases of diabetic stroke. Diabetic control was not deteriorated in any cases during rehabilitation therapy. In 21 cases, treatment of diabetes was not changed during rehabilitation therapy and the levels of fasting plasma glucose were decreased in all of them. Doses of hypoglycemic agents was reduced without significant deterioration of diabetic control in 9 cases whose diabetic control was excellent, and in 2 cases who experienced hypoglycemic attack during rehabilitation therapy. In these cases, oral hypoglycemic agent was reduced from 2 to 1 tablet and insulin from 32 to 21 units per day on average. These results indicate that training in the stroke rehabilitation moderately improves diabetic control.

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Section: Discussionmentioning

confidence: 61%

Control of Diabetes during Rehabilitation for Diabetic Stroke.

Sato

Hiwatari

1994

Tohoku J. Exp. Med.

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“…A clinical review of 29 documented cases by Forster and Hart [17] indicated that 75% of patients were on insulin and 14% were on oral anti-diabetics for blood glucose control. The mechanism of hypoglycemic hemiplegia has not been well documented.…”

Section: Discussionmentioning

confidence: 99%

The Hypoglycemia Evaluated Mistakenly as Cerebrovascular Disease

Coskun

2011

J Neurol Res

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“…Without manifestations of adrenergic discharge, such as tachycardia, profound sweating, or altered mental status, hypoglycemia may present only as focal neurological deficits. 5,8) Furthermore, as MR imaging is presently conducted, understanding of the various pathological conditions and abnormal signals and their localization is necessary. Diffusion-weighted imaging of the affected region in hypoglycemic encephalopathy has shown high intensity in the basal ganglia, pons, temporal lobe or occipital lobe of the cortex, hippocampus, splenium of corpus callosum, and other areas.…”

Section: Discussionmentioning

confidence: 99%

Reversible Magnetic Resonance Imaging Changes Associated With Hypoglycemia -Case Report-

Yamashita

Kawakita

Hosomi

et al. 2010

Neurol. Med. Chir.(Tokyo)

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A 63-year-old man was found with confusion and right limb monoparesis. He was taken to the emergency center under suspicion of stroke. Head computed tomography and magnetic resonance (MR) imaging and MR angiography were immediately conducted, which revealed no abnormality, but diffusionweighted imaging showed increased intensity areas in the splenium of the corpus callosum and the left posterior limb of the internal capsule with decreased apparent diffusion coefficient (ADC) in the same areas. Immediately after the head scan, blood sugar level was measured, which revealed hypoglycemia (23 mg/dl). He quickly became lucid after intravenous administration of 20 ml of 50% glucose solution, and the paresis disappeared. Follow-up brain MR imaging was conducted 3 days later, but no clearly abnormal findings were seen on T 2 -weighted, fluid-attenuated inversion recovery, diffusion-weighted, or ADC images. Reports of reversible high intensity area in the splenium of the corpus callosum on diffusion-weighted imaging due to transient hypoglycemia are rare. Hemiparesis is one of the manifestations of hypoglycemia, so verifying the blood sugar level is important. Since MR imaging can be conducted easily now, we may need to consider the imaging findings in the differential diagnosis of hypoglycemia.

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Hypoglycemic hemiplegia: two cases and a clinical review.

Cited by 70 publications

References 16 publications

Control of Diabetes during Rehabilitation for Diabetic Stroke.

Control of Diabetes during Rehabilitation for Diabetic Stroke.

The Hypoglycemia Evaluated Mistakenly as Cerebrovascular Disease

Reversible Magnetic Resonance Imaging Changes Associated With Hypoglycemia -Case Report-

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