Reversible reduction of apparent diffusion coefficient values in bilateral internal capsules in transient hypoglycemia-induced hemiparesis.
A woman aged 68 years who experienced recurrent right hemiparesis caused by hypoglycemia was admitted to our hospital. When she was experiencing a low level of glucose, diffusion-weighted MR imaging showed the presence of hyperintensity lesions in the bilateral internal capsule. Diffusion-weighted MR imaging has been infrequently performed in patients with hypoglycemia. We report the reversible hyperintensity lesions on diffusion-weighted MR imaging in a hypoglycemic period in a patient with reversible hemiparesis. A reduction of apparent diffusion coefficient in a hypoglycemic period was clearly shown.
Albayram
S
S
Department of Neuroradiology, Cerrahpasa Medical School, Istanbul, Turkey. salbayram@hotmail.com
Ozer
H
H
Gokdemir
S
S
Gulsen
F
F
Kiziltan
G
G
Kocer
N
N
Islak
C
C
D000368:Aged; D001786:Blood Glucose / Q000378:metabolism; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D004292:Dominance, Cerebral / Q000502:physiology*; D005260:Female; D005950:Glucose Solution, Hypertonic / Q000008:administration & dosage; D006429:Hemiplegia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D007091:Image Processing, Computer-Assisted; D007328:Insulin / Q000097:blood; D020772:Internal Capsule / Q000473:pathology*; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis / Q000556:secondary; D012008:Recurrence; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000175:diagnosis
D001786:Blood Glucose; D005950:Glucose Solution, Hypertonic; D007328:Insulin