Acute brain injury in hypoglycaemia-induced hemiplegia.
BACKGROUND
The development of hemiplegia as a result of hypoglycaemia was first described in 1928. However, the mechanism remains unclear.


METHODS
We report a case of a 58-year-old male with diabetes, who developed left hemiplegia during a severe hypoglycaemic event. Results Diffusion-weighted magnetic resonance imaging detected an increased signal intensity in the pons, indicating that the patient's hemiplegia resulted from acute brain injury.


CONCLUSIONS
This report provides evidence that acute brain injury may be a cause of the neurological deficit.
Shirayama
H
H
Second Department of Internal Medicine, University of the Ryukyus, Uehara, Nishihara, Okinawa, Japan.
Ohshiro
Y
Y
Kinjo
Y
Y
Taira
S
S
Teruya
I
I
Nakachi
K
K
Tawata
M
M
Takasu
N
N
D000208:Acute Disease; D001930:Brain Injuries / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy; D006429:Hemiplegia / Q000209:etiology*; D006801:Humans; D007003:Hypoglycemia / Q000150:complications*; D007328:Insulin / Q000506:poisoning; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008875:Middle Aged; D013406:Suicide, Attempted
D007328:Insulin