title: Intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report.
abstract: 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.
authors.affiliation: Department of Internal Medicine, University of Paraná, Curitiba PR - Brasil.
authors.forename: Emerson L
authors.initials: EL
authors.lastname: Gasparetto
authors.forename: Leila Caroline
authors.initials: LC
authors.lastname: Bianchet
authors.forename: Taisa
authors.initials: T
authors.lastname: Davaus
authors.forename: Arnolfo
authors.initials: A
authors.lastname: de Carvalho Neto
mesh_terms: D001930:Brain Injuries / Q000139:chemically induced* / Q000175:diagnosis; D002648:Child; D006801:Humans; D007004:Hypoglycemic Agents / Q000506:poisoning*; D008279:Magnetic Resonance Imaging; D008297:Male
chemical_list: D007004:Hypoglycemic Agents