title: [Hypoglycemic Hemiplegia].
abstract: Hypoglycemia may cause acute hemiplegia. The most common diffusion-weighted MR imaging finding in patients with hypoglycemic hemiplegia is the hyperintense lesion involving the internal capsule, mimicking acute ischemic stroke. Thus, in patients with acute onset hemiplegia, it is important to differentiate hypoglycemia on arrival by immediate blood glucose measurement. It has recently been shown that hypoglycemic brain injury start in large white matter tracts such as internal capsule and spread throughout the whole brain, including the gray matter. However, it is still unclear why focal signs such as hemiplegia develope in metabolic disorders affecting the whole brain.
authors.affiliation: Department of Neurology, Yokohama Brain and Spine Center.
authors.forename: Eriko
authors.initials: E
authors.lastname: Sugawara
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Kudo
authors.forename: Ken
authors.initials: K
authors.lastname: Johkura
mesh_terms: D001921:Brain / Q000473:pathology*; D006429:Hemiplegia / Q000175:diagnosis / Q000188:drug therapy* / Q000378:metabolism*; D006801:Humans; D007003:Hypoglycemia / Q000175:diagnosis / Q000188:drug therapy* / Q000378:metabolism; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D007091:Image Processing, Computer-Assisted / Q000379:methods; D020772:Internal Capsule / Q000378:metabolism*
chemical_list: D007004:Hypoglycemic Agents