Intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report

Arquivos de Neuro-Psiquiatria

Emerson L. Gasparetto¹  Leila Caroline Bianchet¹  Taisa Davaus¹  Arnolfo De Carvalho Neto¹ 

[1] ,University of Paraná Department of Internal Medicine Curitiba PR ,Brazil

关键词: magnetic resonance imaging;    diffusion weighted imaging;    hypoglycemia;    ressonância magnética;    imagens ponderadas em difusão;    hipoglicemia;   

DOI  :  10.1590/S0004-282X2006000600031

来源: SciELO

【 摘 要 】

OBJECTIVE: To present the imaging findings of a patient with diffuse brain injury secondary to intoxication with oral hypoglycemics. CASE REPORT: A nine years-old boy presented with generalized tonic-clonic convulsions and decreased consciousness. Laboratory investigation demonstrated blood glucose level of 21 mg/dL. The magnetic resonance imaging showed cortical and subcortical temporo-parieto-occipital areas of high signal on T2 and low signal on T1, with high signal on the diffusion-weighted images and low signal on apparent diffusion coefficient maps. CONCLUSION: Cortical and subcortical temporal, parietal and occipital ischemic lesions may be seen in patients with intoxication by oral hypoglycemics.

【 授权许可】

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