Presentation
Hypoglycemic, prolonged (2 hours) seizures.
Patient Data
Age: Term baby
From the case:
Hypoglycemic / seizure related neonatal encephalopathy
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Marked diffusion restriction is seen throughout the cortex, sparing the basal ganglia and posterior fossa.
Case Discussion
The pattern of brain injury in pediatric patients is complicated and varies considerably depending on duration, severity and underlying cause of insult. In the setting of pure hypoglycemic neonatal encephalopathy, the occipital cortex and thalami are particularly involved. In this case however, the hypoglycemia is combined with the changes from prolonged seizure which predominantly affects the supratentorial cortex.
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