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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.
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  • Sugito E; Department of Diabetes, Endocrinology, and Metabolism, Center Hospital, National Center for Global Health and Medicine, Japan.
  • Tsujimoto T; Department of Diabetes, Endocrinology, and Metabolism, Center Hospital, National Center for Global Health and Medicine, Japan.
  • Arai N; Department of Diabetes and Endocrinology, Toranomon Hospital Kajigaya, Japan.
  • Bouchi R; Department of Neurology, Center Hospital, National Center for Global Health and Medicine, Japan.
  • Ohsugi M; Department of Diabetes, Endocrinology, and Metabolism, Center Hospital, National Center for Global Health and Medicine, Japan.
  • Tanabe A; Diabetes and Metabolism Information Center, Diabetes Research Center, Research Institute, National Center for Global Health and Medicine, Japan.
  • Ueki K; Department of Diabetes, Endocrinology, and Metabolism, Center Hospital, National Center for Global Health and Medicine, Japan.
  • Kajio H; Diabetes and Metabolism Information Center, Diabetes Research Center, Research Institute, National Center for Global Health and Medicine, Japan.
Intern Med ; 61(4): 513-516, 2022 Feb 15.
Article en En | MEDLINE | ID: mdl-34393160
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Daño por Reperfusión / Diabetes Mellitus Tipo 2 / Hipoglucemia Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Daño por Reperfusión / Diabetes Mellitus Tipo 2 / Hipoglucemia Tipo de estudio: Etiology_studies Límite: Aged / Female / Humans Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2022 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón