Article Text

Download PDFPDF
Suspecting unwitnessed hypoglycaemia
  1. Danielle Lux1,
  2. Mark Edwards2,
  3. Liqun Zhang1
  1. 1 Department of Neurology and Stroke Medicine, St George's Hospital Atkinson Morley Regional Neuroscience Centre, London, Greater London, UK
  2. 2 Department of Neurology, St George's Hospital Atkinson Morley Regional Neuroscience Centre, London, Greater London, UK
  1. Correspondence to Dr Danielle Lux, Department of Neurology and Stroke Medicine, St George's Hospital Atkinson Morley Regional Neuroscience Centre, London SW17 0QT, UK; d.lux{at}nhs.net

Abstract

Hypoglycaemic coma can present with acute neurological dysfunction mimicking stroke. It may be masked by normoglycaemia due to physiological compensatory mechanisms (Somogyi phenomenon). Specific MR brain scan changes should alert the clinician to consider this alternative to stroke in the acute setting in patients with a history of recurrent hypoglycaemia, even when the blood glucose is not low at presentation. Rapid identification and treatment of hypoglycaemia may confer a good prognosis with radiological resolution.

  • stroke
  • MRI
  • endocrinology
  • image analysis

Statistics from Altmetric.com

Footnotes

  • Contributors All authors saw the patient clinically and were involved in developing the manuscript. DL drafted the paper. All authors reviewed and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned. Externally peer reviewed by Mark Manford, Cambridge, UK.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Other content recommended for you