Hyperosmolar hyperglycemic state as a stroke mimic
Hyperosmolar hyperglycemic state (HHS) is a medical emergency, characterized by hyperosmolarity, hyperglycemia, and intravascular volume depletion, in the absence of ketosis. The spectrum of neurological manifestations in HHS is diverse, ranging from mild encephalopathy to coma. The common neurologi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Current Medical Issues |
| Subjects: | |
| Online Access: | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2023;volume=21;issue=3;spage=174;epage=176;aulast=Sheetal |
| _version_ | 1797738877173104640 |
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| author | S Sheetal Persis Susan George Timothy Joy Varghese Vintu John Fernandez |
| author_facet | S Sheetal Persis Susan George Timothy Joy Varghese Vintu John Fernandez |
| author_sort | S Sheetal |
| collection | DOAJ |
| description | Hyperosmolar hyperglycemic state (HHS) is a medical emergency, characterized by hyperosmolarity, hyperglycemia, and intravascular volume depletion, in the absence of ketosis. The spectrum of neurological manifestations in HHS is diverse, ranging from mild encephalopathy to coma. The common neurological presentations of HHS include encephalopathy, seizures, and hyperkinetic movement disorders. Stroke-like presentation of HHS is less reported. We report the case of an elderly female, with uncontrolled type 2 diabetes mellitus, who presented with left hemiplegia and, on evaluation, she was diagnosed to have HHS. As she was a chronic kidney disease patient, this case posed challenges in fluid management, which forms the corner stone of HHS management, along with insulin administration. She was discharged at the end of 1 week, with a complete resolution of her neurological deficit. |
| first_indexed | 2024-03-12T13:49:13Z |
| format | Article |
| id | doaj.art-99cc7b9edca34e94a3a2407bb1da0800 |
| institution | Directory Open Access Journal |
| issn | 0973-4651 2666-4054 |
| language | English |
| last_indexed | 2024-03-12T13:49:13Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Current Medical Issues |
| spelling | doaj.art-99cc7b9edca34e94a3a2407bb1da08002023-08-23T07:29:00ZengWolters Kluwer Medknow PublicationsCurrent Medical Issues0973-46512666-40542023-01-0121317417610.4103/cmi.cmi_10_23Hyperosmolar hyperglycemic state as a stroke mimicS SheetalPersis Susan GeorgeTimothy Joy VargheseVintu John FernandezHyperosmolar hyperglycemic state (HHS) is a medical emergency, characterized by hyperosmolarity, hyperglycemia, and intravascular volume depletion, in the absence of ketosis. The spectrum of neurological manifestations in HHS is diverse, ranging from mild encephalopathy to coma. The common neurological presentations of HHS include encephalopathy, seizures, and hyperkinetic movement disorders. Stroke-like presentation of HHS is less reported. We report the case of an elderly female, with uncontrolled type 2 diabetes mellitus, who presented with left hemiplegia and, on evaluation, she was diagnosed to have HHS. As she was a chronic kidney disease patient, this case posed challenges in fluid management, which forms the corner stone of HHS management, along with insulin administration. She was discharged at the end of 1 week, with a complete resolution of her neurological deficit.http://www.cmijournal.org/article.asp?issn=0973-4651;year=2023;volume=21;issue=3;spage=174;epage=176;aulast=Sheetalchronic kidney diseasehyperosmolar hyperglycemic stateinsulinstroke mimic |
| spellingShingle | S Sheetal Persis Susan George Timothy Joy Varghese Vintu John Fernandez Hyperosmolar hyperglycemic state as a stroke mimic Current Medical Issues chronic kidney disease hyperosmolar hyperglycemic state insulin stroke mimic |
| title | Hyperosmolar hyperglycemic state as a stroke mimic |
| title_full | Hyperosmolar hyperglycemic state as a stroke mimic |
| title_fullStr | Hyperosmolar hyperglycemic state as a stroke mimic |
| title_full_unstemmed | Hyperosmolar hyperglycemic state as a stroke mimic |
| title_short | Hyperosmolar hyperglycemic state as a stroke mimic |
| title_sort | hyperosmolar hyperglycemic state as a stroke mimic |
| topic | chronic kidney disease hyperosmolar hyperglycemic state insulin stroke mimic |
| url | http://www.cmijournal.org/article.asp?issn=0973-4651;year=2023;volume=21;issue=3;spage=174;epage=176;aulast=Sheetal |
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