Yokoi Satoshi, Yasui Keizo, Hasegawa Yasuhiro, Kasai Takatoshi, Inagaki Akemi, Sobue Gen
Department of Neurology, Nagoya Daini Red Cross Hospital.
Rinsho Shinkeigaku. 2013;53(9):724-7. doi: 10.5692/clinicalneurol.53.724.
We described a 28-year-old woman with insulinoma-induced hypoglycemic coma. Her initial diffusion-weighted MRI revealed diffuse hyperintense lesions involving bilateral hemispheric white matter. She did not respond to the initial treatment with glucose. However, after surgical removal of insulinoma, she began to recover gradually, and 1 year later, returned to her previous work. In general, the outcome of hypoglycemic coma with widespread leukoencephalopathy on MRI is thought to be poor. However, we should be aware that some of such cases could recover in the long term.
我们描述了一位患有胰岛素瘤所致低血糖昏迷的28岁女性。她最初的磁共振成像扩散加权成像显示双侧半球白质弥漫性高信号病变。她对最初的葡萄糖治疗无反应。然而，在手术切除胰岛素瘤后，她开始逐渐康复，1年后，恢复了之前的工作。一般来说，磁共振成像显示广泛白质脑病的低血糖昏迷预后被认为较差。然而，我们应该意识到，这类病例中的一些患者可能会长期康复。
