title: Reversible diffusion-weighted imaging changes in the splenium of the corpus callosum and internal capsule associated with hypoglycemia - case report - .
abstract: A 63-year-old man presented with hypoglycemia-induced hemiparesis manifesting as diffusion-weighted magnetic resonance (MR) imaging changes in the splenium of the corpus callosum and internal capsule which disappeared after glucose administration. Clinicians should be aware that hypoglycemia can cause reversible splenium abnormalities on MR imaging, although the underlying mechanism still remains unclear, as this may be helpful in the differential diagnosis of hypoglycemia-induced hemiparesis and stroke.
authors.affiliation: Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan. terakawa@msic.med.osaka-cu.ac.jp
authors.forename: Yuzo
authors.initials: Y
authors.lastname: Terakawa
authors.forename: Naohiro
authors.initials: N
authors.lastname: Tsuyuguchi
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Nunomura
authors.forename: Naoaki
authors.initials: N
authors.lastname: Murayama
authors.forename: Masahito
authors.initials: M
authors.lastname: Fujishige
authors.forename: Akinori
authors.initials: A
authors.lastname: Yamamura
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakagawa
authors.forename: Kazuo
authors.initials: K
authors.lastname: Hashi
mesh_terms: D003337:Corpus Callosum / Q000473:pathology*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications* / Q000473:pathology; D003937:Diagnosis, Differential; D038524:Diffusion Magnetic Resonance Imaging; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology / Q000473:pathology*; D020772:Internal Capsule / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology / Q000473:pathology*; D020521:Stroke / Q000473:pathology