Hypoglycemic hemineglect a stroke mimic
Acute hypoglycemia may mimic acute ischemic stroke, but to our knowledge this has never been reported as transient hemineglect syndrome. We present a 60-year-old male with known diabetes mellitus who was brought to the hospital as a stroke alert. The patient had undetectable glucose levels upon arri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-03-01
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| Series: | eNeurologicalSci |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405650223000023 |
| _version_ | 1828004574547410944 |
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| author | Adrian Rodriguez-Hernandez Denis Babici Maryellen Campbell Octavio Carranza-Reneteria Thomas Hammond |
| author_facet | Adrian Rodriguez-Hernandez Denis Babici Maryellen Campbell Octavio Carranza-Reneteria Thomas Hammond |
| author_sort | Adrian Rodriguez-Hernandez |
| collection | DOAJ |
| description | Acute hypoglycemia may mimic acute ischemic stroke, but to our knowledge this has never been reported as transient hemineglect syndrome. We present a 60-year-old male with known diabetes mellitus who was brought to the hospital as a stroke alert. The patient had undetectable glucose levels upon arrival of emergency medical services (EMS), therefore hypertonic glucose was given. On our assessment in the emergency department (ED)he turned his head to the right side, looking to the right to answer questions when addressed on his left side. The extinction and neglect assessment revealed left-sided extinction on double tactile and visual stimulation. CT perfusion of the brain showed a decreased perfusion in the right cortical area. Given the unclear last known normal, urgent brain magnetic resonance imaging (MRI) was performed; stroke was excluded. The patient was admitted to the Intensive Care Unit where glucose was closely monitored. Electroencephalogram showed absence of seizure or postictal activity. The following morning, the patient returned to baseline and was able to recall the event. The episode was attributed to the severe hypoglycemia because of a recent medication change. |
| first_indexed | 2024-04-10T07:16:58Z |
| format | Article |
| id | doaj.art-123e0949fa7946259fd461afa742bddf |
| institution | Directory Open Access Journal |
| issn | 2405-6502 |
| language | English |
| last_indexed | 2024-04-10T07:16:58Z |
| publishDate | 2023-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | eNeurologicalSci |
| spelling | doaj.art-123e0949fa7946259fd461afa742bddf2023-02-25T04:09:52ZengElseviereNeurologicalSci2405-65022023-03-0130100444Hypoglycemic hemineglect a stroke mimicAdrian Rodriguez-Hernandez0Denis Babici1Maryellen Campbell2Octavio Carranza-Reneteria3Thomas Hammond4Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.Corresponding author at: Charles E. Schmidt College of Medicine, Florida Atlantic University, 777 Glades Road, BC-71, Boca Raton, FL 33431, United States.; Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.Department of Neurology, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL, United States.Acute hypoglycemia may mimic acute ischemic stroke, but to our knowledge this has never been reported as transient hemineglect syndrome. We present a 60-year-old male with known diabetes mellitus who was brought to the hospital as a stroke alert. The patient had undetectable glucose levels upon arrival of emergency medical services (EMS), therefore hypertonic glucose was given. On our assessment in the emergency department (ED)he turned his head to the right side, looking to the right to answer questions when addressed on his left side. The extinction and neglect assessment revealed left-sided extinction on double tactile and visual stimulation. CT perfusion of the brain showed a decreased perfusion in the right cortical area. Given the unclear last known normal, urgent brain magnetic resonance imaging (MRI) was performed; stroke was excluded. The patient was admitted to the Intensive Care Unit where glucose was closely monitored. Electroencephalogram showed absence of seizure or postictal activity. The following morning, the patient returned to baseline and was able to recall the event. The episode was attributed to the severe hypoglycemia because of a recent medication change.http://www.sciencedirect.com/science/article/pii/S2405650223000023HypoglycemiaStroke mimicHemineglect |
| spellingShingle | Adrian Rodriguez-Hernandez Denis Babici Maryellen Campbell Octavio Carranza-Reneteria Thomas Hammond Hypoglycemic hemineglect a stroke mimic eNeurologicalSci Hypoglycemia Stroke mimic Hemineglect |
| title | Hypoglycemic hemineglect a stroke mimic |
| title_full | Hypoglycemic hemineglect a stroke mimic |
| title_fullStr | Hypoglycemic hemineglect a stroke mimic |
| title_full_unstemmed | Hypoglycemic hemineglect a stroke mimic |
| title_short | Hypoglycemic hemineglect a stroke mimic |
| title_sort | hypoglycemic hemineglect a stroke mimic |
| topic | Hypoglycemia Stroke mimic Hemineglect |
| url | http://www.sciencedirect.com/science/article/pii/S2405650223000023 |
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