Clin Exp Emerg Med.  2016 Dec;3(4):252-255. 10.15441/ceem.15.035.

Radiographic basal ganglia abnormalities secondary to nonketotic hyperglycemia with unusual clinical features

Affiliations
  • 1Department of Emergency Medicine, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea. aero7@hanmail.net

Abstract

A 77-year-old woman was admitted to a local clinic for altered consciousness and presented with a suspected basal ganglion hemorrhage detected on brain computed tomography. The patient was stuporous, but her vital signs were stable. Her initial blood glucose was 607 mg/dL, and a hyperdense lesion was found in the right basal ganglion on brain computed tomography. T1-weighted magnetic resonance imaging revealed high signal intensity in the right basal ganglion. Electroencephalography showed no seizure activity. The patient was treated with a fluid infusion, and serum glucose level was controlled with insulin. The patient gradually recovered consciousness and was alert within 24 hours as serum glucose level normalized. The basal ganglion lesion caused by hyperglycemia was not accompanied by involuntary limb movement. This is the first report of a patient presenting with decreased consciousness and typical neural radiographic changes associated with nonketotic hyperglycemia but without movement abnormalities.

Keyword

Hyperglycemia; Basal ganglia; Tomography, X-ray computed; Magnetic resonance imaging

MeSH Terms

Aged
Basal Ganglia*
Blood Glucose
Brain
Consciousness
Electroencephalography
Extremities
Female
Ganglion Cysts
Hemorrhage
Humans
Hyperglycemia*
Insulin
Magnetic Resonance Imaging
Seizures
Stupor
Tomography, X-Ray Computed
Vital Signs
Blood Glucose
Insulin
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