Lala V R, Vedanarayana V V, Ganesh S, Fray C, Iosub S, Noto R
Department of Pediatrics, Lincoln Medical and Mental Health Center, New York Medical College, Bronx.
J Emerg Med. 1989 May-Jun;7(3):233-6. doi: 10.1016/0736-4679(89)90351-x.
A case of hypoglycemic hemiparesis in a fifteen-year-old girl with insulin dependent diabetes mellitus (IDDM) is described. The initial presentation included left facial paresis and muscular weakness of the left upper and lower extremities, associated with a blood glucose level of 31 mg/dL. The patient recovered completely after a glucose infusion. Her neurological examination became normal within 24 hours and remained so for a follow-up period of 6 months. Hypoglycemic hemiparesis is rarely described in children and adolescents.
本文描述了一名15岁胰岛素依赖型糖尿病（IDDM）女孩发生低血糖性偏瘫的病例。最初表现为左侧面瘫以及左上肢和下肢肌肉无力，同时血糖水平为31 mg/dL。静脉输注葡萄糖后患者完全康复。其神经学检查在24小时内恢复正常，并在6个月的随访期内一直保持正常。儿童和青少年中低血糖性偏瘫的报道很少。
