intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report intoxicação com hipoglicemiante oral como causa de lesão cerebral difusa: relato de caso

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ID: 196222
2006
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Abstract
OBJECTIVE: To present the imaging findings of a patient with diffuse brain injury secondary to intoxication with oral hypoglycemics. CASE REPORT: A nine years-old boy presented with generalized tonic-clonic convulsions and decreased consciousness. Laboratory investigation demonstrated blood glucose level of 21 mg/dL. The magnetic resonance imaging showed cortical and subcortical temporo-parieto-occipital areas of high signal on T2 and low signal on T1, with high signal on the diffusion-weighted images and low signal on apparent diffusion coefficient maps. CONCLUSION: Cortical and subcortical temporal, parietal and occipital ischemic lesions may be seen in patients with intoxication by oral hypoglycemics.
OBJETIVO: Apresentar os achados de imagem em um caso de lesão cerebral difusa secundária a intoxicação por hipoglicemiante oral. RELATO DE CASO: Menino de nove anos de idade apresentando crises convulsivas tônico-clônicas e rebaixamento do nível de consciência. Exames laboratoriais revelaram glicose sérica de 21 mg/dL. O exame de ressonância magnética revelou lesões corticais e subcorticais têmporoparieto-occipitais, com alto sinal em T2 e baixo em T1, apresentando hipersinal nas imagens ponderadas em difusão e hipossinal nos mapas de coeficiente aparente de difusão. CONCLUSÃO: Lesões isquêmicas corticais e subcorticais nos lobos temporais, parietais e occipitais podem ser identificadas em pacientes com intoxicação por hipoglicemiantes orais.
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Authors ;Emerson L. Gasparetto;Leila Caroline Bianchet;Taisa Davaus;Arnolfo de Carvalho Neto
Journal communications in computer and information science
Year 2006
DOI
10.1590/S0004-282X2006000600031
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2006000600031
Keywords
Magnetic resonance imaging neuropsychiatry biological psychiatry hypoglycemianeurosciences

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