Gatto E M, Fernández Pardal M M, Fueyo G
Instituto de Neurocirugía y Neurología Sanatorio Mitre, Buenos Aires, Argentina.
Neurologia. 1992 Feb;7(2):77-9.
The common signs of hypoglycemia include: tachycardia, diaphoresis and vertigo which may be associated to disturbances of the consciousness. Occasionally, focal neurological signs occur with conservation of consciousness which are erroneously interpreted as cerebral vascular disease. An insulin dependent diabetic patient is presented with an initial diagnosis of transient ischemic attack (TIA) with right hemiparesis and dysarthria associated to hypoglycemia (35 mg %) whose remission occurred following the correction of glycemia. The different physiopathogenic mechanisms were also revised postulating (selective neuronal vulnerability, vasospasms and subjacent vascular disease) and the need for considering this diagnosis must be emphasized in those diabetic patients with focal neurological symptoms.
心动过速、出汗和眩晕，这些可能与意识障碍有关。偶尔，在意识清醒的情况下会出现局灶性神经体征，这些体征被错误地解释为脑血管疾病。一名胰岛素依赖型糖尿病患者最初被诊断为短暂性脑缺血发作（TIA），伴有右半身轻瘫和构音障碍，这与低血糖（35mg%）有关，血糖纠正后症状缓解。还对不同的病理生理机制进行了修订（选择性神经元易损性、血管痉挛和潜在血管疾病），并强调在有局灶性神经症状的糖尿病患者中必须考虑这一诊断。
