Utility of Diffusion-Weighted Magnetic Resonance Imaging for Predicting a Prognosis in Hypoglycemic Encephalopathy: Two Case Reports
Journal Title: International Journal of Medical and Pharmaceutical Case Reports - Year 2015, Vol 5, Issue 2
Abstract
Cases: Case 1: A 71-year-old male with a long history of chronic alcoholism was transferred to our emergency department because of a disturbance of consciousness. On arrival, his Glasgow Coma Scale (GCS) was E1V1M2 (4/15) and blood glucose level was 30 mg/dL. Case 2: A 66-year-old female with dermatomyositis and a long history of steroid-induced diabetes mellitus, who was treated with a sulfonylurea, was transferred to our department because of an altered mental state. Her GCS was E3V2M4 (9/15) and blood glucose level was 32 mg/dL. We observed abnormalities on diffusion-weighted magnetic resonance images (DWI-MRI) in both cases. Outcomes: Although intravenous thiamine and glucose was immediately administered because of suspected hypoglycemic encephalopathy, case 1 died after 3 days, and case 2 remained in a persistent vegetative state more than 90 days after onset. Conclusion: Unlike conventional MRI, DWI-MRI abnormalities can be used as predictors of poor prognosis in patients with severe hypoglycemia.
Authors and Affiliations
Syuichi Tetsuka, Asako Tagawa, Tomoko Ogawa, Mieko Otsuka, Ritsuo Hashimoto, Hiroyuki Kato
Keywords
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- EP ID EP343793
- DOI 10.9734/IJMPCR/2015/19534
- Views 60
- Downloads 0
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