title: Hemiplegia hypoglycaemia syndrome.
abstract: We report the case of a 83-year-old man who presented to the emergency department with hypoglycaemia resembling a cerebrovascular accident. Hypoglycaemic hemiparesis is an under-recognized manifestation of hypoglycaemia. If not recognized and treated promptly, hypoglycaemia may cause irreversible central nervous system injury; it rarely results in death. It is imperative that emergency physicians consider hypoglycaemia in all patients with coma in spite of focal neurological deficit even when the findings seem to be explained initially by other aetiologies.
authors.affiliation: Department of Emergency Medicine, Université Catholique de Louvain, Clinique de Mont-Godinne, Yvoir, Belgium.
authors.forename: D
authors.initials: D
authors.lastname: Vanpee
authors.forename: J
authors.initials: J
authors.lastname: Donckier
authors.forename: J B
authors.initials: JB
authors.lastname: Gillet
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001786:Blood Glucose / Q000032:analysis; D003937:Diagnosis, Differential; D004630:Emergencies; D005947:Glucose / Q000627:therapeutic use*; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D013577:Syndrome
chemical_list: D001786:Blood Glucose; D005947:Glucose