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持续性低血糖性脑病：一例报告

Prolonged Hypoglycemic Encephalopathy: A Case Report.

作者信息

Shah Newton Ashish, Bastola Santosh, Shah Abhishek Kumar, Yadav Manish

机构信息

Institute of Medicine Tribhuwan University Teaching Hospital Kathmandu Nepal.

Department of Emergency Medicine Tribhuwan University Teaching Hospital Kathmandu Nepal.

出版信息

Clin Case Rep. 2024 Dec 6;12(12):e9711. doi: 10.1002/ccr3.9711. eCollection 2024 Dec.

DOI:10.1002/ccr3.9711
PMID:39649494
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11621970/
Abstract

Hypoglycemic encephalopathy is a rare yet life-threatening diabetes complication, where overlapping symptoms with neurological conditions can delay diagnosis. Early recognition and treatment are crucial to prevent irreversible brain damage. Clinicians should suspect hypoglycemia in diabetic patients with altered mental status, as timely intervention improves outcomes and reduces mortality.

摘要

低血糖性脑病是一种罕见但危及生命的糖尿病并发症，其与神经系统疾病重叠的症状可能会延迟诊断。早期识别和治疗对于预防不可逆的脑损伤至关重要。临床医生应对精神状态改变的糖尿病患者怀疑低血糖，因为及时干预可改善预后并降低死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc14/11621970/906e0d52f228/CCR3-12-e9711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc14/11621970/5d2a64c460ee/CCR3-12-e9711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc14/11621970/906e0d52f228/CCR3-12-e9711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc14/11621970/5d2a64c460ee/CCR3-12-e9711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc14/11621970/906e0d52f228/CCR3-12-e9711-g002.jpg

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本文引用的文献

1
Hypoglycemic encephalopathy mimicking acute ischemic stroke in clinical presentation and magnetic resonance imaging: a case report.临床表现及磁共振成像酷似急性缺血性卒中的低血糖脑病：一例报告
BMC Med Imaging. 2019 Jan 24;19(1):11. doi: 10.1186/s12880-019-0310-z.
2
The radiological findings of hypoglycemic encephalopathy: A case report with high b value DWI analysis.低血糖性脑病的影像学表现：一例高b值扩散加权成像分析的病例报告
Medicine (Baltimore). 2017 Oct;96(43):e8425. doi: 10.1097/MD.0000000000008425.
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Functional outcome of patients with prolonged hypoglycemic encephalopathy.
长期低血糖性脑病患者的功能转归
Ann Intensive Care. 2017 Dec;7(1):54. doi: 10.1186/s13613-017-0277-2. Epub 2017 May 22.
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[A case of hypoglycemic coma with good outcome despite sustained unconsciousness and widespread leukoencephalopathy].[一例低血糖昏迷患者，尽管持续昏迷且存在广泛白质脑病，但预后良好]
Rinsho Shinkeigaku. 2013;53(9):724-7. doi: 10.5692/clinicalneurol.53.724.
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Predictors of outcome in hypoglycemic encephalopathy.低血糖性脑病的预后预测因素。
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BMC Neurol. 2012 Nov 21;12:139. doi: 10.1186/1471-2377-12-139.
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J Neurol. 2012 Oct;259(10):2172-81. doi: 10.1007/s00415-012-6480-z. Epub 2012 Apr 11.
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Diffusion-weighted imaging of hyperacute cerebral hypoglycemia.超急性低血糖症的弥散加权成像。
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MR imaging of hypoglycemic encephalopathy: lesion distribution and prognosis prediction by diffusion-weighted imaging.低血糖性脑病的磁共振成像：通过扩散加权成像评估病变分布及预测预后
Neuroradiology. 2009 Oct;51(10):641-9. doi: 10.1007/s00234-009-0544-5. Epub 2009 Jun 17.