Lahat E, Salgado A, Rowan A J
Neurology Service, VA Medical Center, Bronx, New York.
Clin Neurol Neurosurg. 1988;90(2):141-4. doi: 10.1016/s0303-8467(88)80035-0.
A 58-year-old diabetic man suffered two episodes of hypoglycemia accompanied by isolated aphasia. Prompt resolution of the language disorder followed treatment with 50% glucose IV. The day following the first event the EEG demonstrated bitemporal delta activity, more prominent over the left hemisphere. EEG repeated two weeks after the second event showed residual left temporal slowing. The differential diagnosis between hypoglycemia and transient ischemic attacks in diabetic patients presenting with transient focal neurological deficit is emphasized.
一名58岁的糖尿病男性患者经历了两次低血糖发作，并伴有孤立性失语。静脉注射50%葡萄糖治疗后，语言障碍迅速缓解。首次发作后的第二天，脑电图显示双侧颞叶δ活动，在左半球更为明显。第二次发作两周后复查脑电图显示左侧颞叶仍有慢波。强调了在出现短暂性局灶性神经功能缺损的糖尿病患者中，低血糖与短暂性脑缺血发作的鉴别诊断。
