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저혈당 후 일시적인 뇌량 팽대 부위 병변을 가진 치매 환자

A Case of Dementia with Transient Splenial lesion on MRI after Hypoglycemia

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초록

We report a rare case having dementia with transient splenial lesion on MRI after hypoglycemia. A 75-year-old woman with type 2 diabetes was admitted with mental change after medication of a hypoglycemic agent. Initial serum glucose was 22 mg/dL. High signal intensity in the splenium on diffusion-weighted MRI was shown. After conservative management, she was gradually improved and splenial lesion was disappeared, but her cognitive impairment remained.

Abstract

We report a rare case having dementia with transient splenial lesion on MRI after hypoglycemia. A 75-year-old woman with type 2 diabetes was admitted with mental change after medication of a hypoglycemic agent. Initial serum glucose was 22 mg/dL. High signal intensity in the splenium on diffusion-weighted MRI was shown. After conservative management, she was gradually improved and splenial lesion was disappeared, but her cognitive impairment remained.

참고문헌 (10)

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  10. Mosconi L, "Brain glucose metabolism in the early and specific diagnosis of Alzheimer’s disease", FDG-PET studies in MCI and AD. Eur J Nucl Med Mol Imaging, 32, pp.486~510 (2005)

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