title: Acute brain injury in hypoglycaemia-induced hemiplegia.
abstract: 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.
authors.affiliation: Second Department of Internal Medicine, University of the Ryukyus, Uehara, Nishihara, Okinawa, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Shirayama
authors.forename: Y
authors.initials: Y
authors.lastname: Ohshiro
authors.forename: Y
authors.initials: Y
authors.lastname: Kinjo
authors.forename: S
authors.initials: S
authors.lastname: Taira
authors.forename: I
authors.initials: I
authors.lastname: Teruya
authors.forename: K
authors.initials: K
authors.lastname: Nakachi
authors.forename: M
authors.initials: M
authors.lastname: Tawata
authors.forename: N
authors.initials: N
authors.lastname: Takasu
mesh_terms: 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
chemical_list: D007328:Insulin