Rapid Regression of White Matter Changes in Hypoglycemic Encephalopathy
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Purpose : In a previous report, it took several days for white matter lesions to regress in hypoglycemic encephalopathy. We present a case of rapid diffusion-weighted image (DWI) changes in hypoglycemic encephalopathy. Case Report: A 58-year-old male patient was found semi-comatous with the only abnormality in his laboratory testsshowing hypoglycemia (44 mg/dL). After rapid correction of glucose level, immediate brain DWI showed bilateral subcorticalwhite matter lesions. After about 5 hours, follow-up DWI showed resolved subcortical white matter lesions, withnewly-appeared bilateral fronto-temporo-parietal cortical lesions. Conclusion: Both white matter and cortex involvement in hypoglycemic encephalopathy has been shown in severalreports, but rapid regression of white matter changes in hypoglycemic encephalopathy has been rarely reported. It isimportant to know that MR imaging changes in hypoglycemic encephalopathy can be made as quick as just a few-hourlong.
Abstract
Purpose : In a previous report, it took several days for white matter lesions to regress in hypoglycemic encephalopathy. We present a case of rapid diffusion-weighted image (DWI) changes in hypoglycemic encephalopathy. Case Report: A 58-year-old male patient was found semi-comatous with the only abnormality in his laboratory testsshowing hypoglycemia (44 mg/dL). After rapid correction of glucose level, immediate brain DWI showed bilateral subcorticalwhite matter lesions. After about 5 hours, follow-up DWI showed resolved subcortical white matter lesions, withnewly-appeared bilateral fronto-temporo-parietal cortical lesions. Conclusion: Both white matter and cortex involvement in hypoglycemic encephalopathy has been shown in severalreports, but rapid regression of white matter changes in hypoglycemic encephalopathy has been rarely reported. It isimportant to know that MR imaging changes in hypoglycemic encephalopathy can be made as quick as just a few-hourlong.
참고문헌 (10)
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