Yeungnam Univ J Med.  2010 Jun;27(1):37-41. 10.12701/yujm.2010.27.1.37.

A Case of Severe Hypoglycemic Encephalopathy with Extensive Brain Lesions in Non-diabetics and Alcoholism

Affiliations
  • 1Department of Neurology, College of Medicine, Yeungnam University, Daegu, Korea. sjlee@med.yu.ac.kr

Abstract

Hypoglycemic encephalopathy is a rare problem among diabetic patients who are receiving treatment with insulin or other glucose-lowering drugs. The MRIs of patients with hypoglycemic encephalopathy commonly show scattered lesions in the cerebral cortex, hippocampus and basal ganglia, but lesions in the cerebellum or brain stem are extremely rare. A 44-year-old alcoholic woman without diabetes was admitted with a semicomatose mentality and seizure with severe hypoglycemic encephalopathy with extensive brain lesions seen on MRI at the middle cerebellar peduncle and midbrain, as well as in the other brain areas.

Keyword

Hypoglycemic encephalopathy; Brain stem; Cerebellum

MeSH Terms

Adult
Alcoholics
Alcoholism
Basal Ganglia
Brain
Brain Stem
Cerebellum
Cerebral Cortex
Female
Hippocampus
Humans
Insulin
Mesencephalon
Seizures
Insulin
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