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Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus

A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a norma...

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Published in:	Internal Medicine 2022/02/15, Vol.61(4), pp.513-516
Main Authors:	Sugito, Erika, Tsujimoto, Tetsuro, Arai, Noritoshi, Bouchi, Ryotaro, Ohsugi, Mitsuru, Tanabe, Akiyo, Ueki, Kohjiro, Kajio, Hiroshi
Format:	Article
Language:	English
Subjects:	Aged Case Report Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - complications Female Glucose glucose reperfusion Hemiplegia Hemiplegia - etiology Humans Hypoglycemia Hypoglycemia - etiology hypoglycemic encephalopathy Insulin Internal medicine Magnetic resonance imaging Magnetic Resonance Imaging - methods neuronal damage Reperfusion Reperfusion Injury Thalamus
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container_title	Internal Medicine
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description	A 79-year-old woman with type 2 diabetes receiving insulin was rushed to our hospital due to severe hypoglycemia. Glucose was administered, and the consciousness disturbance was promptly improved. A few hours later, conjugate deviation of the eyes to the right and left hemiplegia occurred at a normal glucose level. Cerebral magnetic resonance imaging (MRI) showed hyperintensities of the right posterior limb of the internal capsule and the medial thalamus on diffusion-weighted imaging sequences. However, the changes observed using MRI disappeared completely on the third day, and her symptoms subsequently improved. This may have been a case of glucose reperfusion injury.
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subjects	Aged Case Report Diabetes Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - complications Female Glucose glucose reperfusion Hemiplegia Hemiplegia - etiology Humans Hypoglycemia Hypoglycemia - etiology hypoglycemic encephalopathy Insulin Internal medicine Magnetic resonance imaging Magnetic Resonance Imaging - methods neuronal damage Reperfusion Reperfusion Injury Thalamus
title	Left Hemiplegia Possibly Due to Glucose Reperfusion Injury after Recovery of Severe Hypoglycemia in a Woman with Type 2 Diabetes Mellitus
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