J Korean Diabetes Assoc.  2006 Mar;30(2):136-139. 10.4093/jkda.2006.30.2.136.

A Case of Recurrent Hypoglycemic Hemiparesis in an Adult with Type 1 Diabetes Mellitus

• Kim KM
• Kang SH
• Hong SI
• Cho DH
• Kang HC
• Chung DJ
• Chung MY

• KMID: 2063443
• DOI: http://doi.org/10.4093/jkda.2006.30.2.136

Abstract

Transient hypoglycemic hemiparesis is a rare but important presentation of hypoglycemia that is frequently misdiagnosed as stroke. The development of hemiparesis as a result of hypoglycemia was first described in 1928. Thereafter over the years, several cases have been sporadically reported in Korea, but case reports of recurrent hypoglycemic hemiparesis are rare. We recently experienced a case of recurrent hypoglycemic hemiparesis in an adult with type 1 diabetes mellitus. A 30-year-old woman with type 1 diabetes receiving daily multiple subcutaneous insulin injections was admitted with right hemiparesis. She had had admitted with the same symptom and recovered with oral carbohydrates in twice 2 years ago. Her clinical course improved over 2 hours after infusion of dextrose solution. Further investigations such as CT, MRI and MRA revealed no abnormality

Keyword

Hemiparesis; Hypoglycemia; Type 1 diabetes mellitus

MeSH Terms

Adult*
Carbohydrates
Diabetes Mellitus, Type 1*
Female
Glucose
Humans
Hypoglycemia
Insulin
Korea
Magnetic Resonance Imaging
Paresis*
Stroke
Carbohydrates
Glucose
Insulin

Figure

• 

  Fig. 1 Brain MR image shows no abnormal findings.

• 

  Fig. 2 EEG shows diffuse, intermittent 5-Hz slow waves.

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