Transient Hypoglycemia-induced Hemiparesis Mimicking Stroke -A Case Report-

다국어 초록 (Multilingual Abstract)

Hypoglycemia is caused by poor oral intake, excessive exercise, alcohol abuse and inaccurate use of a hypoglycemic agent or insulin in patients that have history of diabetes mellitus (DM), especially in the elderly. Severe hypoglycemia has a variety of different symptoms or signs from focal neurologic deficits to severe coma, or death. It can be difficult to differentiate hypoglycemia-induced symptoms or signs, and stroke or cardiovascular disease in acute setting. Transient hypoglycemic hemiparesis is an infrequent case in the emergency department (ED), which is frequently misdiagnosed for stroke. When patients with decreased mental status or hemiparesis are admitted to the ED, a routine blood sugar test is essential. Hypoglycemic hemiparesis if unrecognized can result in permanent neurological damage. Therefore, it is important to detect hypoglycemia early and treat it appropriately.

참고문헌 (Reference)

1 Cordonnier C, "Serial diffusion and perfusion-weighted MR in transient hypoglycemia" 65 : 175-, 2005

2 Aoki T, "Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma" 63 : 392-393, 2004

3 Terakawa Y, "Reversible diffusion- weighted imaging changes in the splenium of the corpus callosum and internal capsule associated with hypoglycemia -case report" 47 : 486-488, 2007

4 Filan PM, "Neonatal hypoglycemia and occipital cerebral injury" 148 : 552-555, 2006

5 김범수, "Magnetic resonance imaging and diffusion-weighted imaging changes after hypoglycemic coma" Sage Science Press 15 (15): 193-196, 200504

6 Böttcher J, "Localized reversible reduction of apparent diffusion coefficient in transient hypoglycemia-induced hemiparesis" 36 : e20-22, 2005

7 Gasparetto EL, "Intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report" 64 : 1036-1038, 2006

8 Doherty MJ, "Clinical implications of splenium magnetic resonance imaging signal changes" 62 : 433-437, 2005

9 Chan R, "Case report: hypoglycemia and diffusion-weighted imaging" 27 : 420-423, 2003

10 Hemelsoet DM, "Acute brain injury in hypoglycaemia-induced hemiplegia" 22 : 1287-, 2005