Brain Neurorehabil.  2015 Sep;8(2):113-116. 10.12786/bn.2015.8.2.113.

Progress of Rehabilitation in Patients with Hypoglycemic Encephalopathy Accompanying Dysphagia and Voiding Difficulty: A Case Report

Affiliations
  • 1Department of Rehabilitation Medicine, Kangwon National University Hospital, Korea. sora.baek@kangwon.ac.kr
  • 2Gangwon-do Rehabilitation Hospital, Korea.
  • 3Department of Rehabilitation Medicine, Kangwon National University School of Medicine, Korea.

Abstract

Dysphagia and voiding difficulty after hypoglycemic encephalopathy (HE) are not well described in the literature. Additionally, the effect of rehabilitation on outcomes of HE has not been discussed enough. Here we report two cases of HE, who underwent comprehensive rehabilitative management. A 76-year-old man with HE had cognitive dysfunction, dysphagia, poor standing balance, and voiding difficulty. After rehabilitation for about 20 days, the patient's swallowing, gait, and voiding function was improved remarkably, and he could eat a tolerable diet, walk independently, and void without catheterization. However, the cognitive function changed a little. A 75-year-old woman with HE had cognitive dysfunction, impaired gait, dysphagia, and voiding difficulty. After rehabilitation for one month, the patient made progress in swallowing and gait. However, the cognitive function changed a little. After rehabilitation, the recovery of swallowing and locomotor function was rapid and satisfactory in two cases, however, the progress of cognitive function was not definite.

Keyword

hypoglycemic encephalopathy; dysphagia; rehabilitation
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