Bathla G, Policeni B, Agarwal A
From the Department of Radiology (G.B., B.P.), University of Iowa Hospitals and Clinics, Iowa City, Iowa
From the Department of Radiology (G.B., B.P.), University of Iowa Hospitals and Clinics, Iowa City, Iowa.
AJNR Am J Neuroradiol. 2014 May;35(5):833-40. doi: 10.3174/ajnr.A3486. Epub 2013 May 2.
Smooth neuronal functioning requires an uninterrupted supply of energy that is provided by glucose under normal physiologic conditions. Significant variations in plasma glucose levels, be it hypoglycemia or hyperglycemia, can present with myriad clinical manifestations and may mimic stroke. At times, the diagnosis is either not apparent or not clinically suspected. Imaging can suggest the diagnosis in unsuspected cases and can help in the assessment of the extent of neuronal damage in known cases, making it vital for the neuroradiologist to be aware of both common and atypical neuroimaging findings in hypoglycemia and hyperglycemia.
在正常生理条件下，神经元的平稳运作需要由葡萄糖提供不间断的能量供应。血浆葡萄糖水平的显著变化，无论是低血糖还是高血糖，都可能表现出多种临床表现，并且可能类似中风。有时，诊断并不明显或未被临床怀疑。影像学检查可以在未被怀疑的病例中提示诊断，并有助于评估已知病例中神经元损伤的程度，这使得神经放射科医生了解低血糖和高血糖常见及非典型的神经影像学表现至关重要。
