Hypoglycemic encephalopathy

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Presented to ER with confused mental state.

Patient Data

Age: 10 years
Gender: Male
mri

Bilateral cerebral patches of high T2 and FLAIR signal at the corona radiata showing diffusion restriction with reduced ADC values.

Normal MRA of the brain.

Case Discussion

A known diabetic patient presented to ER with reduced mental state. His laboratory work up revealed markedly reduced blood glucose level. MRI revealed bilateral hyperintense lesions at the corona radiata showing diffusion restriction and reduced ADC levels. The patient showed clinical improvement couple of days following medical treatment.

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