Transient Insulin Hypoglycemic Hemiflegias

Ravid, Jacob M.

doi:10.1097/00000441-192806000-00004

Cited by 23 publications

(7 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our literature review we found about 200 reported cases of hypoglycemic hemiparesis to date ( 2–6,12–66 ) since the two cases reported by Ravid and one case reported by Diecke in 1928 ( 12,13 ).…”

Section: Discussionmentioning

confidence: 99%

A case of hypoglycemic hemiparesis and literature review

Yoshino¹,

Meguro²,

Soeda³

et al. 2012

Upsala Journal of Medical Sciences

View full text Add to dashboard Cite

An 89-year-old man with diabetes treated with metformin 500 mg/day and glimepiride 4 mg/day was hospitalized because of hypoglycemic right hemiparesis and dysarthria (casual glucose value 1.8 mmol/L), which resolved quickly following administration of 40 mL of 40% dextrose. Hemiparesis is a rare symptom (4.2%) of hypoglycemia. There are about 200 case reports of hypoglycemic hemiparesis. The average glucose level at which hemiparesis developed was 1.8 mmol/L. Right-sided hemiparesis predominated (R 66%; L 34%). On imaging studies, abnormal findings were frequently observed in the internal capsule or splenium of the corpus callosum. The mechanism of hemiparesis is not fully understood. The existence of cases in which hypoglycemia cannot be distinguished from stroke on imaging studies suggests the importance of measurement of the blood glucose level when the symptoms of stroke are first recognized.

show abstract

Section: Discussionmentioning

confidence: 99%

A case of hypoglycemic hemiparesis and literature review

Yoshino¹,

Meguro²,

Soeda³

et al. 2012

Upsala Journal of Medical Sciences

View full text Add to dashboard Cite

show abstract

“…Hemiparesis caused by hypoglycemia was documented by Ravid more than 60 years ago 7 and has been occasionally described since. 46 All these patients had normal CT scans and were either insulin-dependent diabetics, took oral hypoglycemic agents, or, in one case, had an islet cell tumor.…”

Section: Discussionmentioning

confidence: 97%

Hypoglycemia presenting as basilar artery thrombosis.

Röther

Schreiner

Wentz

et al. 1992

Stroke

View full text Add to dashboard Cite

Background and Purpose: Following our treatment of a patient with hypoglycemia-induced brain stem symptoms, we examined the possible mechanisms for hypoglycemia presenting as basilar artery disease.Case Description: We describe a patient who had progressive brain stem symptoms due to a diet-induced hypoglycemia initially diagnosed as basilar artery thrombosis. Symptoms ceased immediately after intravenous glucose.Conclusions: Before invasive diagnostic and thrombolytic strategies are considered, hypoglycemia as a rare but important cause of acute brain stem dysfunction must be considered in patients suspected to suffer from basilar artery thrombosis. (Stroke 1992^3:112-113)

show abstract

“…In one instance the examination was done three times over a period of two months following an extensive 3 Wertheim hysterectomy for cancer of the cervix uteri, and in another the specimen was taken twenty years after operation.…”

Section: Resultsmentioning

confidence: 99%

Anterior Pituitary Hormone in the Blood of Women With Ovarian Deficiency

Fluhmann¹

1929

JAMA

View full text Add to dashboard Cite

Transient Insulin Hypoglycemic Hemiflegias

Cited by 23 publications

References 0 publications

A case of hypoglycemic hemiparesis and literature review

A case of hypoglycemic hemiparesis and literature review

Hypoglycemia presenting as basilar artery thrombosis.

Anterior Pituitary Hormone in the Blood of Women With Ovarian Deficiency

Contact Info

Product

Resources

About