KMID : 0359720080260030263
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Journal of the Korean Neurological Association 2008 Volume.26 No. 3 p.263 ~ p.266
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Hypoglycemic Encephalopathy With Delayed Lesionon Magnetic Resonance Imaging
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Ji Myung-Goo
Kim Kwang-Ki Seo Hyung-Suk Jeong Sang-Wuk Kim Dong-Eog
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Abstract
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We report on delayed emergence of restricted diffusion on MRI after hypoglycemia. A 56-year-old man with type 2 diabetes was admitted with mental change. Initial serum glucose was 19 mg/dl. Fifteen hours after presumed symptom onset, brain imaging did not show any definite abnormality. However, areas of restricted diffusion emerged evident in both basal ganglia 9 days later. Hypoglycemia can cause delayed cytotoxic edema even after normalization of the serum glucose.
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KEYWORD
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Hypoglycemia, Coma, Diffusion-weighted MRI
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