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Radiographic basal ganglia abnormalities secondary to nonketotic hyperglycemia with unusual clinical features

Authors :
Ju Young Choi
Joon Min Park
Kyung Hwan Kim
Jun Seok Park
Dong Wun Shin
Hoon Kim
Woo Chan Jeon
Hyun Jong Kim
Source :
Clinical and Experimental Emergency Medicine, Vol 3, Iss 4, Pp 252-255 (2016)
Publication Year :
2016
Publisher :
The Korean Society of Emergency Medicine, 2016.

Abstract

A 77-year-old woman was admitted to a local clinic for altered consciousness and presented with a suspected basal ganglion hemorrhage detected on brain computed tomography. The patient was stuporous, but her vital signs were stable. Her initial blood glucose was 607 mg/dL, and a hyperdense lesion was found in the right basal ganglion on brain computed tomography. T1-weighted magnetic resonance imaging revealed high signal intensity in the right basal ganglion. Electroencephalography showed no seizure activity. The patient was treated with a fluid infusion, and serum glucose level was controlled with insulin. The patient gradually recovered consciousness and was alert within 24 hours as serum glucose level normalized. The basal ganglion lesion caused by hyperglycemia was not accompanied by involuntary limb movement. This is the first report of a patient presenting with decreased consciousness and typical neural radiographic changes associated with nonketotic hyperglycemia but without movement abnormalities.

Details

Language :
English
ISSN :
23834625
Volume :
3
Issue :
4
Database :
Directory of Open Access Journals
Journal :
Clinical and Experimental Emergency Medicine
Publication Type :
Academic Journal
Accession number :
edsdoj.f9236c491e5440ba92df9da3f4a5cf52
Document Type :
article
Full Text :
https://doi.org/10.15441/ceem.15.035