Recurrent hypoglycemic hemiparesis and aphasia in an adolescent patient.
A 12-year-old diabetic female with right-side hemiparesis and aphasia occurring after a hypoglycemic episode is reported. Her clinical course improved over a 24-hour period, and further investigation revealed only electroencephalographic slowing, which was more prominent on the left. Ten months later, she had a recurrence of the same symptoms, which also resolved rapidly. This potential complication of hypoglycemia is often mistaken for a cerebrovascular accident.
Kossoff
E H
EH
Department of Pediatric Neurology, Johns Hopkins Hospital-Pathology 509, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Ichord
R N
RN
Bergin
A M
AM
D000293:Adolescent; D001037:Aphasia / Q000175:diagnosis* / Q000503:physiopathology; D002540:Cerebral Cortex / Q000503:physiopathology; D003937:Diagnosis, Differential; D004292:Dominance, Cerebral / Q000502:physiology; D004569:Electroencephalography; D005260:Female; D006429:Hemiplegia / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis* / Q000503:physiopathology; D009460:Neurologic Examination; D012008:Recurrence