Hypoglycaemic encephalopathy
Diagnosis almost certain
Updates to Case Attributes
Presentation
was changed:
This patient presented acute encephalopathy andwith psychomotor involutiondisorders. The examination found decreased blood glucose -– hypoglycemia, with organic acidemia, ketonuria, and hyperammonemia.
Body
was changed:
Hypoglycemic encephalopathy is a metabolic encephalopathy, that results from an imbalance between the supply and the use of glucose by brain cells, and occurs due to hypoglycemia 1-4. Cerebral MRI, especially DWI, is an important tool for the diagnosis and predictive of prognosis of this condition 1,2,4-6.
This case illustrates hypoglycemic encephalopathy, with the typical medical history and blood indicators, combined with MRI findings, with DWI giving the best clue to the diagnosis. This child had a good outcome, and his symptoms improved after intravenous glucose therapy.
Case courtesy
- Erick Cavalcante, MD - PGY-3, Radiology resident, Department of Radiology
- Bianca Madero, Neuro pediatrician, Department of Pediatrics
- Antonio Rodrigues de Aguiar Neto, MD - Radiologist, Department of Radiology
Hospital da Restauração – Recife, PE – Brazil
-<p><a title="Hypoglycemic encephalopathy (HE)" href="/articles/hypoglycaemic-encephalopathy">Hypoglycemic encephalopathy</a> is a metabolic encephalopathy, that results from an imbalance between the supply and the use of glucose by brain cells, and occurs due to hypoglycemia <sup>1-4</sup>. Cerebral MRI, especially DWI, is an important tool for the diagnosis and predictive of prognosis of this condition <sup>1,2,4-6</sup>.</p><p>This case illustrates hypoglycemic encephalopathy, with the typical medical history and blood indicators, combined with MRI findings, with DWI giving the best clue to the diagnosis.</p><p><strong>Case courtesy</strong></p><ul>- +<p><a href="/articles/hypoglycaemic-encephalopathy">Hypoglycemic encephalopathy</a> is a metabolic encephalopathy, that results from an imbalance between the supply and the use of glucose by brain cells, and occurs due to hypoglycemia <sup>1-4</sup>. Cerebral MRI, especially DWI, is an important tool for the diagnosis and predictive of prognosis of this condition <sup>1,2,4-6</sup>.</p><p>This case illustrates hypoglycemic encephalopathy, with the typical medical history and blood indicators, combined with MRI findings, with DWI giving the best clue to the diagnosis. This child had a good outcome, and his symptoms improved after intravenous glucose therapy.</p><p><strong>Case courtesy</strong></p><ul>
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