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低血糖性脑损伤伴皮质层状坏死 1 例

A case of hypoglycemic brain injuries with cortical laminar necrosis.

机构信息

Division of Endocrinology and Metabolism, Department of Internal Medicine, College of Medicine, Hallym University, Seoul, Korea.

出版信息

J Korean Med Sci. 2010 Jun;25(6):961-5. doi: 10.3346/jkms.2010.25.6.961. Epub 2010 May 24.

DOI:10.3346/jkms.2010.25.6.961
PMID:20514323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2877241/
Abstract

We report a case of 68-yr-old male who died from brain injuries following an episode of prolonged hypoglycemia. While exploring controversies surrounding magnetic resonance imaging (MRI) findings indicating the bad prognosis in patients with hypoglycemia-induced brain injuries, we here discuss interesting diffusion-MRI of hypoglycemic brain injuries and their prognostic importance focusing on laminar necrosis of the cerebral cortex.

摘要

我们报告了一例 68 岁男性病例，他因长时间低血糖导致脑损伤而死亡。在探讨磁共振成像（MRI）结果所带来的争议时，我们讨论了低血糖性脑损伤的有趣弥散 MRI 及其预后意义，重点是大脑皮层的层状坏死。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/362400d93802/jkms-25-961-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/407bf7ac487f/jkms-25-961-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/94b12423ca28/jkms-25-961-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/362400d93802/jkms-25-961-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/407bf7ac487f/jkms-25-961-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/94b12423ca28/jkms-25-961-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1fe/2877241/362400d93802/jkms-25-961-g003.jpg

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本文引用的文献

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Severe hypoglycemia and vulnerability of the brain.严重低血糖与脑易损性
Arch Neurol. 2006 Jan;63(1):138. doi: 10.1001/archneur.63.1.138.
2
Cerebral cortical laminar necrosis on diffusion-weighted MRI in hypoglycaemic encephalopathy.低血糖性脑病中扩散加权磁共振成像上的大脑皮质层状坏死
Diabet Med. 2005 Aug;22(8):1098-100. doi: 10.1111/j.1464-5491.2005.01568.x.
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Reversible hyperintensity lesion on diffusion-weighted MRI in hypoglycemic coma.低血糖昏迷时弥散加权磁共振成像上的可逆性高信号病变
疑似患有低血糖性脑病的犬中通过弥散加权成像检测到皮质层状坏死。
J Vet Med Sci. 2020 Dec 26;82(12):1763-1768. doi: 10.1292/jvms.20-0134. Epub 2020 Nov 2.
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Neuroradiol J. 2019 Dec;32(6):431-437. doi: 10.1177/1971400919876621. Epub 2019 Sep 30.
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The radiological findings of hypoglycemic encephalopathy: A case report with high b value DWI analysis.低血糖性脑病的影像学表现：一例高b值扩散加权成像分析的病例报告
Medicine (Baltimore). 2017 Oct;96(43):e8425. doi: 10.1097/MD.0000000000008425.
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Hypoglycemic encephalopathy: a case series and literature review on outcome determination.低血糖性脑病：病例系列及预后评估文献综述。
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