title: Hypoglycemia presenting as basilar artery thrombosis.
abstract: OBJECTIVE
  Following our treatment of a patient with hypoglycemia-induced brain stem symptoms, we examined the possible mechanisms for hypoglycemia presenting as basilar artery disease.
  
  
  METHODS
  We describe a patient who had progressive brain stem symptoms due to a diet-induced hypoglycemia initially diagnosed as basilar artery thrombosis. Symptoms ceased immediately after intravenous glucose.
  
  
  CONCLUSIONS
  Before invasive diagnostic and thrombolytic strategies are considered, hypoglycemia as a rare but important cause of acute brain stem dysfunction must be considered in patients suspected to suffer from basilar artery thrombosis.
authors.affiliation: Department of Neurology, University of Heidelberg, Klinikum Mannheim, FRG.
authors.forename: J
authors.initials: J
authors.lastname: Röther
authors.forename: A
authors.initials: A
authors.lastname: Schreiner
authors.forename: K U
authors.initials: KU
authors.lastname: Wentz
authors.forename: M
authors.initials: M
authors.lastname: Hennerici
mesh_terms: D000328:Adult; D001488:Basilar Artery; D001927:Brain Diseases / Q000175:diagnosis; D001933:Brain Stem; D005260:Female; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis*; D013927:Thrombosis / Q000175:diagnosis*