Diffusion MR Imaging of Hypoglycemic Encephalopathy

Kang, Eugene; Jeon, Soon‐Ik; Choi, See Sung; Song, Chang June; Yu, In Kyu

doi:10.3174/ajnr.a1856

Cited by 126 publications

(143 citation statements)

References 26 publications

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“…6b) and hypoglycemia can also produce restricted diffusion within both the cortical and deep gray matter (93). In hypoglycemia, the DWI changes may be reversible and other areas such as the hemispheric white matter and posterior limb of the internal capsule may also be involved, especially in the less severe spectrum of this condition (94). Methanol intoxication typically produces putaminal necrosis with restricted diffusion (Fig.…”

Section: Differential Diagnosismentioning

confidence: 99%

Imaging of prion diseases

Létourneau-Guillon

Wada²,

Kucharczyk

2012

Magnetic Resonance Imaging

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Prion diseases are caused by self‐replicating proteins that induce lethal neurodegenerative disorders. In the last decade, the understanding of the different clinical, pathological, and neuroimaging phenotypes of this group of disorders has evolved paralleling the advances in prion molecular biology. From an imaging standpoint, the implementation of diffusion‐weighted imaging in routine practice has markedly facilitated the detection of prion diseases, especially Creutzfeldt‐Jakob. Less frequent prion‐related disorders, including genetic diseases, may also benefit from progresses in the field of quantitative diffusion‐weighted imaging, MR spectroscopy or molecular imaging. Herein, we present a review of the neuroimaging features of the prion disorders known to affect humans emphasizing the important contribution of MRI in the diagnosis of this group of disorders. J. Magn. Reson. Imaging 2012;35:998‐1012. © 2012 Wiley Periodicals, Inc.

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Section: Differential Diagnosismentioning

confidence: 99%

Imaging of prion diseases

Létourneau-Guillon

Wada²,

Kucharczyk

2012

Magnetic Resonance Imaging

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“…Symptomatic hypoglycemia is believed to affect 2% of diabetic patients annually and is associated with up to 4% of deaths in patients with type 1 diabetes. 6,11,49 Other causes include exogenous administration of insulin, which may be suicidal or accidental, insulin-secreting tumors, sepsis, Addison disease, and hepatic or renal failure. 6,7,11 Hypoglycemic symptoms can be divided into autonomic, which include sweating, trembling, palpitations, and anxiety and neuroglycopenic, which include weakness, confusion, personality changes, seizures, and transient memory loss.…”

Section: Adult Hypoglycemiamentioning

confidence: 99%

“…6,11,49 Other causes include exogenous administration of insulin, which may be suicidal or accidental, insulin-secreting tumors, sepsis, Addison disease, and hepatic or renal failure. 6,7,11 Hypoglycemic symptoms can be divided into autonomic, which include sweating, trembling, palpitations, and anxiety and neuroglycopenic, which include weakness, confusion, personality changes, seizures, and transient memory loss. 6,7,15,50,51 Severe hypoglycemia may present with altered mental state or coma.…”

Section: Adult Hypoglycemiamentioning

confidence: 99%

“…6,7,11 Hypoglycemic symptoms can be divided into autonomic, which include sweating, trembling, palpitations, and anxiety and neuroglycopenic, which include weakness, confusion, personality changes, seizures, and transient memory loss. 6,7,15,50,51 Severe hypoglycemia may present with altered mental state or coma. 6,[52][53][54] Occasionally, patients may develop hemiparesis or quadriparesis and mimic a stroke.…”

Section: Adult Hypoglycemiamentioning

confidence: 99%

“…3 Abnormal variations in plasma glucose levels may occur in neonates, diabetics, and patients with insulin-secreting tumors, sepsis, Addison disease, and hepatic or renal failure. [4][5][6][7] Significant variations in glucose levels are often symptomatic. Hyperglycemic patients may present with HC-HB, weakness, hypotonia, pyramidal tract signs, and seizures.…”

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confidence: 99%

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Neuroimaging in Patients with Abnormal Blood Glucose Levels

Bathla

Policeni

Agarwal

2013

American Journal of Neuroradiology

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SUMMARY:Smooth neuronal functioning requires an uninterrupted supply of energy that is provided by glucose under normal physiologic conditions. Significant variations in plasma glucose levels, be it hypoglycemia or hyperglycemia, can present with myriad clinical manifestations and may mimic stroke. At times, the diagnosis is either not apparent or not clinically suspected. Imaging can suggest the diagnosis in unsuspected cases and can help in the assessment of the extent of neuronal damage in known cases, making it vital for the neuroradiologist to be aware of both common and atypical neuroimaging findings in hypoglycemia and hyperglycemia.ABBREVIATIONS: GABA ϭ gamma aminobutyric acid; HC-HB ϭ hemichorea-hemiballismus; NIDDM ϭ non-insulin-dependent diabetes mellitus; NKHG ϭ non-

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Encephalopathy (delirium) due to Systemic Disease

Weathers

2013

Neurological Disorders Due to Systemic Disease

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Diffusion MR Imaging of Hypoglycemic Encephalopathy

Cited by 126 publications

References 26 publications

Imaging of prion diseases

Imaging of prion diseases

Neuroimaging in Patients with Abnormal Blood Glucose Levels

Encephalopathy (delirium) due to Systemic Disease

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