S.K. Singh, MD, DM, Lecturer in Medicine (Endocrinology), Division of Endocrinology and Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005.
Indian J Psychiatry. 1994 Apr;36(2):93-4.
A variable array of neuroglycopenic symptoms are frequently encountered in the hypoglycemic stage, but acute psychotic disorders are quite rare. A fifty five year old female presented with an acute psychosis following oral sulfonylurea induced hypoglycemia without preceding features of adrenomedullary stimulation. This case report suggests that an acute and transient psychotic disorder may be an important neuroglycopenic feature and its early recognition protects the patient from severe hypoglycemic brain damage in a state of hypoglycemia unawareness.
在低血糖阶段常出现一系列变化不定的神经低血糖症状，但急性精神错乱则甚为少见。一 55 岁女性，口服磺酰脲类药物引起低血糖后发生急性精神错乱，而此前并无肾上腺髓质兴奋的表现。本病例报告提示，急性和短暂性精神错乱可能是一种重要的神经低血糖症状，低血糖意识障碍状态下，早期识别可防止患者因严重低血糖导致脑损伤。
