| Diffusion-weighted MRI predicts prognosis in severe hypoglycemic encephalopathy. | |
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MedLine Citation:
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PMID: 16815017 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 20-year-old woman presented unconscious due to hypoglycemia after a self-administered insulin injection. Diffusion-weighted MRI (DWI), performed 5 days after admission, demonstrated heterogeneous high-intensity signal areas in both the cortex and subcortex but sparing the motor and sensory centers. On the 11th day after admission, she began making incomprehensible verbal sounds, eye opening spontaneously and moving her extremities with pyramidal tract signs. Three months later, she had aphasia, agnosia and apraxia but a normal gait without pyramidal tract signs or ataxia. DWI is thus considered useful to predict the functional outcome of patients with severe hypoglycemia. |
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Authors:
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Youichi Yanagawa; Naoaki Isoi; Aya M Tokumaru; Toshihisa Sakamoto; Yoshiaki Okada |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2006-07-11 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 13 ISSN: 0967-5868 ISO Abbreviation: J Clin Neurosci Publication Date: 2006 Jul |
Date Detail:
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Created Date: 2006-07-24 Completed Date: 2006-10-03 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 696-9 Citation Subset: IM |
Affiliation:
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Department of Traumatology and Critical Care Medicine, National Defense Medical College, 3-1 Tokorozawa, Saitama 359-8513, Japan. yanagawa@me.ndmc.ac.jp |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Diffusion Magnetic Resonance Imaging* Disease Progression Female Humans Hypoglycemia / chemically induced, complications* Insulin / administration & dosage Neurotoxicity Syndromes / diagnosis* Predictive Value of Tests Self Administration |
| Chemical | |
Reg. No./Substance:
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11061-68-0/Insulin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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