Abstract
A woman aged 68 years who experienced recurrent right hemiparesis caused by hypoglycemia was admitted to our hospital. When she was experiencing a low level of glucose, diffusion-weighted MR imaging showed the presence of hyperintensity lesions in the bilateral internal capsule. Diffusion-weighted MR imaging has been infrequently performed in patients with hypoglycemia. We report the reversible hyperintensity lesions on diffusion-weighted MR imaging in a hypoglycemic period in a patient with reversible hemiparesis. A reduction of apparent diffusion coefficient in a hypoglycemic period was clearly shown.
MeSH terms
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Aged
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Blood Glucose / metabolism
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Diagnosis, Differential
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Diffusion Magnetic Resonance Imaging*
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Dominance, Cerebral / physiology*
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Female
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Glucose Solution, Hypertonic / administration & dosage
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Hemiplegia / diagnosis*
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Hemiplegia / etiology
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Hemiplegia / therapy
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Humans
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Hypoglycemia / diagnosis*
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Hypoglycemia / etiology
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Hypoglycemia / therapy
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Image Processing, Computer-Assisted*
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Insulin / blood
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Internal Capsule / pathology*
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Liver Neoplasms / complications
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Liver Neoplasms / diagnosis
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Liver Neoplasms / secondary
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Recurrence
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Uterine Cervical Neoplasms / complications
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Uterine Cervical Neoplasms / diagnosis
Substances
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Blood Glucose
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Glucose Solution, Hypertonic
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Insulin