Transient hypoglycemic hemiparesis.
Transient hypoglycemic hemiparesis is a rare but important presentation of hypoglycemia that is frequently misdiagnosed as stroke. This is a case of an 18-year-old black female with type 1 diabetes who presented to the emergency department with recurrent acute episodes of hemiparesis that resolved completely after dextrose infusion. It is the intention of the authors to increase awareness of this disorder which, if misdiagnosed, could result in permanent neurological damage. Current theories on the etiology of this disorder are discussed.
Carter
Flloyd
F
Department of Medicine, Princess Margaret Hospital, Nassau, Bahamas. flloydcarter@hotmail.com
Taylor
Charles
C
D000293:Adolescent; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D005947:Glucose / Q000627:therapeutic use; D006801:Humans; D007003:Hypoglycemia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D010291:Paresis / Q000188:drug therapy / Q000209:etiology*; D020521:Stroke / Q000175:diagnosis
D005947:Glucose