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Sugito, Erika; Tsujimoto, Tetsuro; Arai, Noritoshi; Bouchi, Ryotaro; Ohsugi, Mitsuru; Tanabe, Akiyo; Ueki, Kohjiro; Kajio, Hiroshi
Internal Medicine, 2022-Feb-15, Letnik: 61, Številka: 4Journal Article
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.
