Magnetic resonance imaging changes in a 69-year old man with hypoglycemia induced brain injury: Case report and literature review

Pranitha Reddy Arrabyru; Ihtesham Aatif Qureshi; Lauren Skalomenos; Gustavo Jose Rodriguez

doi:10.11604/pamj.2019.32.131.17967

Magnetic resonance imaging changes in a 69-year old man with hypoglycemia induced brain injury: Case report and literature review

Pranitha Reddy Arrabyru, Ihtesham Aatif Qureshi, Lauren Skalomenos, Gustavo Jose Rodriguez

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

We present the case of a 69-year old man who was brought to the hospital after being found unconscious; last seen at baseline 9 hours prior. On admission he was found to be severely hypoglycemic and received prompt glucose administration, with no immediate neurological improvement. Stroke was suspected. A brain MRI revealed abnormal hyperintense signal involving the head and tail of the left hippocampus. After close neurological monitoring and supportive care in the ICU, his condition improved over time, leaving no residual focal deficits. This case highlights the presence of MRI changes in patients with severe hypoglycemia as it happens in hypoglycemic coma.

Original language	English (US)
Article number	131
Journal	Pan African Medical Journal
Volume	32
DOIs	https://doi.org/10.11604/pamj.2019.32.131.17967
State	Published - 2019
Externally published	Yes

Keywords

Focal deficits
Glucose
Hippocampus
Hypoglycemia
ICU
MRI
Stroke

ASJC Scopus subject areas

General Medicine

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10.11604/pamj.2019.32.131.17967

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title = "Magnetic resonance imaging changes in a 69-year old man with hypoglycemia induced brain injury: Case report and literature review",

abstract = "We present the case of a 69-year old man who was brought to the hospital after being found unconscious; last seen at baseline 9 hours prior. On admission he was found to be severely hypoglycemic and received prompt glucose administration, with no immediate neurological improvement. Stroke was suspected. A brain MRI revealed abnormal hyperintense signal involving the head and tail of the left hippocampus. After close neurological monitoring and supportive care in the ICU, his condition improved over time, leaving no residual focal deficits. This case highlights the presence of MRI changes in patients with severe hypoglycemia as it happens in hypoglycemic coma.",

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AU - Qureshi, Ihtesham Aatif

AU - Skalomenos, Lauren

AU - Rodriguez, Gustavo Jose

N1 - Publisher Copyright: © Pranitha Reddy Arrabyru et al.

PY - 2019

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AB - We present the case of a 69-year old man who was brought to the hospital after being found unconscious; last seen at baseline 9 hours prior. On admission he was found to be severely hypoglycemic and received prompt glucose administration, with no immediate neurological improvement. Stroke was suspected. A brain MRI revealed abnormal hyperintense signal involving the head and tail of the left hippocampus. After close neurological monitoring and supportive care in the ICU, his condition improved over time, leaving no residual focal deficits. This case highlights the presence of MRI changes in patients with severe hypoglycemia as it happens in hypoglycemic coma.

KW - Focal deficits

KW - Glucose

KW - Hippocampus

KW - Hypoglycemia

KW - ICU

KW - MRI

KW - Stroke

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Magnetic resonance imaging changes in a 69-year old man with hypoglycemia induced brain injury: Case report and literature review

Abstract

Keywords

ASJC Scopus subject areas

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