title: Reversible reduction of apparent diffusion coefficient values in bilateral internal capsules in transient hypoglycemia-induced hemiparesis.
abstract: 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.
authors.affiliation: Department of Neuroradiology, Cerrahpasa Medical School, Istanbul, Turkey. salbayram@hotmail.com
authors.forename: S
authors.initials: S
authors.lastname: Albayram
authors.forename: H
authors.initials: H
authors.lastname: Ozer
authors.forename: S
authors.initials: S
authors.lastname: Gokdemir
authors.forename: F
authors.initials: F
authors.lastname: Gulsen
authors.forename: G
authors.initials: G
authors.lastname: Kiziltan
authors.forename: N
authors.initials: N
authors.lastname: Kocer
authors.forename: C
authors.initials: C
authors.lastname: Islak
mesh_terms: 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
chemical_list: D001786:Blood Glucose; D005950:Glucose Solution, Hypertonic; D007328:Insulin