Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus

A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a norma...

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Autores principales: Sugito, Erika, Tsujimoto, Tetsuro, Arai, Noritoshi, Bouchi, Ryotaro, Ohsugi, Mitsuru, Tanabe, Akiyo, Ueki, Kohjiro, Kajio, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907763/
https://www.ncbi.nlm.nih.gov/pubmed/34393160
http://dx.doi.org/10.2169/internalmedicine.7202-21
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author Sugito, Erika
Tsujimoto, Tetsuro
Arai, Noritoshi
Bouchi, Ryotaro
Ohsugi, Mitsuru
Tanabe, Akiyo
Ueki, Kohjiro
Kajio, Hiroshi
author_facet Sugito, Erika
Tsujimoto, Tetsuro
Arai, Noritoshi
Bouchi, Ryotaro
Ohsugi, Mitsuru
Tanabe, Akiyo
Ueki, Kohjiro
Kajio, Hiroshi
author_sort Sugito, Erika
collection PubMed
description A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury.
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spelling pubmed-89077632022-03-25 Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus Sugito, Erika Tsujimoto, Tetsuro Arai, Noritoshi Bouchi, Ryotaro Ohsugi, Mitsuru Tanabe, Akiyo Ueki, Kohjiro Kajio, Hiroshi Intern Med Case Report A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury. The Japanese Society of Internal Medicine 2021-08-13 2022-02-15 /pmc/articles/PMC8907763/ /pubmed/34393160 http://dx.doi.org/10.2169/internalmedicine.7202-21 Text en Copyright © 2022 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Sugito, Erika
Tsujimoto, Tetsuro
Arai, Noritoshi
Bouchi, Ryotaro
Ohsugi, Mitsuru
Tanabe, Akiyo
Ueki, Kohjiro
Kajio, Hiroshi
Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title_full Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title_fullStr Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title_full_unstemmed Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title_short Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
title_sort left hemiplegia possibly due to glucose reperfusion injury after recovery of severe hypoglycemia in a woman with type 2 diabetes mellitus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8907763/
https://www.ncbi.nlm.nih.gov/pubmed/34393160
http://dx.doi.org/10.2169/internalmedicine.7202-21
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