Hypoglycemic encephalopathy

Case contributed by Mohammad A. ElBeialy , 22 Aug 2015
Diagnosis certain
Changed by Henry Knipe, 5 Oct 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Presentation was changed:
Suicidal attempt by overdosage of insulin. Patient who has psychiatric disorders and unknown to be diabetic been broughtBrought to the casualty department comatosed.
Body was changed:

The cause was suicide attempt by overdosage of insulin in a patient who has psychiatric disorders and is unknown to be diabetic.

Hypoglycemic brain injury is typically diagnosed in comatose adult diabetic men on insulin with brain insult due to insulin overdosage. The lesion usually involves the frontal, parietal, temporal and occipital cortex and subcortex with relative sparing of the deep white matter. The basal ganglia are involved in severe cases. The thalami are always spared as well as the cerebellum and the brain stem. 

The lack of deep white matter injury, haemorrhagic reperfusion as well as the lack of the thalamic affection are the main differentiating points between hypoglycemic and hypoxic-ischemic brain insult.  

  • -<p><a href="/articles/hypoglycaemic-encephalopathy">Hypoglycemic brain injury</a> is typically diagnosed in comatose adult diabetic men on insulin with brain insult due to insulin overdosage. The lesion usually involves the frontal, parietal, temporal and occipital cortex and subcortex with relative sparing of the deep white matter. The basal ganglia are involved in severe cases. The thalami are always spared as well as the cerebellum and the brain stem. </p><p>The lack of deep white matter injury, haemorrhagic reperfusion as well as the lack of the thalamic affection are the main differentiating points between hypoglycemic and <a href="/articles/hypoxic-ischaemic-brain-injury-1">hypoxic-ischemic</a> brain insult.  </p>
  • +<p>The cause was suicide attempt by overdosage of insulin in a patient who has psychiatric disorders and is unknown to be diabetic.</p><p><a href="/articles/hypoglycaemic-encephalopathy">Hypoglycemic brain injury</a> is typically diagnosed in comatose adult diabetic men on insulin with brain insult due to insulin overdosage. The lesion usually involves the frontal, parietal, temporal and occipital cortex and subcortex with relative sparing of the deep white matter. The basal ganglia are involved in severe cases. The thalami are always spared as well as the cerebellum and the brain stem. </p><p>The lack of deep white matter injury, haemorrhagic reperfusion as well as the lack of the thalamic affection are the main differentiating points between hypoglycemic and <a href="/articles/hypoxic-ischaemic-brain-injury-1">hypoxic-ischemic</a> brain insult.  </p>

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