본문 바로가기
KERD
논문KCI 등재

자기공명영상에서 지연성 병변을 보인저혈당성 뇌병증

Hypoglycemic Encephalopathy With Delayed Lesionon Magnetic Resonance Imaging

1

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류신경과학

초록

We report on delayed emergence of restricted diffusion on MRI after hypoglycemia. A 56-year-old man with type 2 diabetes was admitted with mental change. Initial serum glucose was 19 mg/dl. Fifteen hours after presumed symptom onset, brain imaging did not show any definite abnormality. However, areas of restricted diffusion emerged evident in both basal ganglia 9 days later. Hypoglycemia can cause delayed cytotoxic edema even after normalization of the serum glucose.

Abstract

We report on delayed emergence of restricted diffusion on MRI after hypoglycemia. A 56-year-old man with type 2 diabetes was admitted with mental change. Initial serum glucose was 19 mg/dl. Fifteen hours after presumed symptom onset, brain imaging did not show any definite abnormality. However, areas of restricted diffusion emerged evident in both basal ganglia 9 days later. Hypoglycemia can cause delayed cytotoxic edema even after normalization of the serum glucose.

참고문헌 (10)

  1. Choi JY, "Hypoglycemia-induced transient hemiparesis: report of 2 cases", J Korean Neurol Assoc, 25, pp.451~453 (2007)
  2. Kim HK, "Dysarthria with hypoglycemia and reversible focal hyperintensity lesion on diffusion- weighted MRI", J Korean Neurol Assoc, 25, pp.266~268 (2007)
  3. Aoki T, "Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma", Neurology, 63, pp.392~393 (2004)
  4. Fujioka M, "Specific changes in human brain after hypoglycemic injury", Stroke, 28, pp.584~587 (1997)
  5. 구영호, "저혈당 후 일시적인 뇌량 팽대 부위 병변을 가진 치매 환자", 대한신경과학회지, 26(1), pp.67~72 (2008), 대한신경과학회
  6. Mori F, "Hypoglycemic encephalopathy with extensive lesions in the cerebral white matter", Neuropathology, 26, pp.147~152 (2006)
  7. Nam SW, "A case of hypoglycemic hemiplegia: reversible change of diffusion- and perfusion- weighted MRI", J Korean Neurol Assoc, 19, pp.660~664 (2001)
  8. Hasegawa Y, "Severe transient hypoglycemia causes reversible change in the apparent diffusion coefficient of water", Stroke, 27, pp.1648~1655 (1996)
  9. Cordonnier C, "Serial diffusion and perfusion-weighted MR in transient hypoglycemia", Neurology, 65, pp.175~ (2005)
  10. Kim JH, "Extensive white matter injury in hypoglycemic coma", Neurology, 68, pp.1074~ (2007)

관련 논문AI추천

이 간행물의 다른 논문 (22건)