Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review

Hypoglycemic encephalopathy constitutes a critical presentation of severely diminished glucose levels. We present the case of a 53-year-old male patient with a history of diabetes mellitus with hypoglycemic encephalopathy and MRI findings of bilateral middle cerebellar peduncle lesions. Common findi...

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Main Authors: Sara Henao Romero, MD, Daniel Villamizar Torres, MD, Diego M. Rivera, MD
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322006938
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author Sara Henao Romero, MD
Daniel Villamizar Torres, MD
Diego M. Rivera, MD
author_facet Sara Henao Romero, MD
Daniel Villamizar Torres, MD
Diego M. Rivera, MD
author_sort Sara Henao Romero, MD
collection DOAJ
description Hypoglycemic encephalopathy constitutes a critical presentation of severely diminished glucose levels. We present the case of a 53-year-old male patient with a history of diabetes mellitus with hypoglycemic encephalopathy and MRI findings of bilateral middle cerebellar peduncle lesions. Common findings of hypoglycemic encephalopathy described in the literature consist of bilateral compromise of the cerebral cortex, basal ganglia, hippocampus, and long tracts of white matter. The cerebellum and brainstem are usually not affected. This is the ninth report of cerebellar peduncle compromise with hypoglycemia. As increasing evidence regarding prognosis estimation of lesion distribution arises, we consider it important to report the different cases of rare patterns of compromise.
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spelling doaj.art-631d2bb050d1451385f4fa87b65c71a02022-12-22T02:27:04ZengElsevierRadiology Case Reports1930-04332022-12-01171245994602Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature reviewSara Henao Romero, MD0Daniel Villamizar Torres, MD1Diego M. Rivera, MD2Department of Neurosurgery, Hospital Universitario San Ignacio, Ak. 7 # 40 - 62 , Bogotá D.C., Colombia; Corresponding author.Member of the Neurology and Neurosurgery Research Group, Pontificia Universidad Javeriana-Hospital Universitario San Ignacio, Bogotá D.C, ColombiaDepartment of Neuroradiology, Hospital Universitario San Ignacio, Bogotá D.C., ColombiaHypoglycemic encephalopathy constitutes a critical presentation of severely diminished glucose levels. We present the case of a 53-year-old male patient with a history of diabetes mellitus with hypoglycemic encephalopathy and MRI findings of bilateral middle cerebellar peduncle lesions. Common findings of hypoglycemic encephalopathy described in the literature consist of bilateral compromise of the cerebral cortex, basal ganglia, hippocampus, and long tracts of white matter. The cerebellum and brainstem are usually not affected. This is the ninth report of cerebellar peduncle compromise with hypoglycemia. As increasing evidence regarding prognosis estimation of lesion distribution arises, we consider it important to report the different cases of rare patterns of compromise.http://www.sciencedirect.com/science/article/pii/S1930043322006938Hypoglycemic encephalopathyMiddle cerebellar peduncleDiagnosisPrognosis
spellingShingle Sara Henao Romero, MD
Daniel Villamizar Torres, MD
Diego M. Rivera, MD
Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
Radiology Case Reports
Hypoglycemic encephalopathy
Middle cerebellar peduncle
Diagnosis
Prognosis
title Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
title_full Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
title_fullStr Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
title_full_unstemmed Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
title_short Bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy: A case report and literature review
title_sort bilateral middle cerebellar peduncle compromise due to hypoglycemic encephalopathy a case report and literature review
topic Hypoglycemic encephalopathy
Middle cerebellar peduncle
Diagnosis
Prognosis
url http://www.sciencedirect.com/science/article/pii/S1930043322006938
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