title: Paroxysmal dyskinesia associated with hypoglycemia.
abstract: The association of movement disorders with hypoglycemia has been rarely noted in the past. We recently observed 2 patients with documented hypoglycemia and paroxysmal dyskinesias. One patient had evidence of an insulin-secreting tumor. The other patient had insulin-dependent diabetes, and also experienced recurrent episodes of hypoglycemic hemiparesis. Classical adrenergic symptoms of hypoglycemia were absent in both patients. Our observations support the concept that the development of neuroglycopenic symptoms cannot be predicted from blood glucose measurements alone, but must depend on other factors controlling the availability or metabolism of glucose in the brain.
authors.affiliation: Department of Internal Medicine, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.
authors.forename: B J
authors.initials: BJ
authors.lastname: Schmidt
authors.forename: N
authors.initials: N
authors.lastname: Pillay
mesh_terms: D001786:Blood Glucose / Q000378:metabolism; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D004569:Electroencephalography; D006429:Hemiplegia / Q000209:etiology; D006801:Humans; D007003:Hypoglycemia / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009069:Movement Disorders / Q000150:complications*; D010190:Pancreatic Neoplasms / Q000150:complications
chemical_list: D001786:Blood Glucose