Intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report.
OBJECTIVE
To present the imaging findings of a patient with diffuse brain injury secondary to intoxication with oral hypoglycemics.


METHODS
A nine years-old boy presented with generalized tonic-clonic convulsions and decreased consciousness. Laboratory investigation demonstrated blood glucose level of 21 mg/dL. The magnetic resonance imaging showed cortical and subcortical temporo-parieto-occipital areas of high signal on T2 and low signal on T1, with high signal on the diffusion-weighted images and low signal on apparent diffusion coefficient maps.


CONCLUSIONS
Cortical and subcortical temporal, parietal and occipital ischemic lesions may be seen in patients with intoxication by oral hypoglycemics.
Gasparetto
Emerson L
EL
Department of Internal Medicine, University of Paraná, Curitiba PR - Brasil.
Bianchet
Leila Caroline
LC
Davaus
Taisa
T
de Carvalho Neto
Arnolfo
A
D001930:Brain Injuries / Q000139:chemically induced* / Q000175:diagnosis; D002648:Child; D006801:Humans; D007004:Hypoglycemic Agents / Q000506:poisoning*; D008279:Magnetic Resonance Imaging; D008297:Male
D007004:Hypoglycemic Agents