Reversible diffusion-weighted imaging changes in the splenium of the corpus callosum and internal capsule associated with hypoglycemia - case report - .
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.
Terakawa
Yuzo
Y
Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan. terakawa@msic.med.osaka-cu.ac.jp
Tsuyuguchi
Naohiro
N
Nunomura
Katsuyuki
K
Murayama
Naoaki
N
Fujishige
Masahito
M
Yamamura
Akinori
A
Nakagawa
Toshio
T
Hashi
Kazuo
K
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