Erokhina L G, Chekneva N S, Stakhovskaia L V, Davletkhanov E D
Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(11):1609-14.
The authors made a clinico-electrophysiological analysis of hypoglycemic conditions in 20 patients admitted to the clinic with acute cerebral symptomatology. They describe the following neurological symptoms developing in hypoglycemia: paroxysmal disturbances of consciousness, including epileptic seizures; pseudostrokes; pseudotumours; comatose states. The paper presents criteria of the differentiation between primary cerebral disorders and neuroglycopenic symptoms of hypoglycemic conditions. These criteria include the development of consciousness disturbances in morning and after long intervals between meals, excessive weakness for sweets, fluctuations of the degree of focal and general cerebral symptoms from mild lipothymic states to the development of pronounced focal neurological symptomatology, the presence of high amplitude slow wave activity at all EEG leads and the efficacy of the intravenous administration of glucose. It has been shown that hypoglycemia may manifest itself by various cerebral disorders and that the development of recurrent hypoglycemic states may be responsible for secondary metabolic encephalopathy with various focal neurological symptomatology.
作者对20例因急性脑症状入院的患者的低血糖情况进行了临床电生理分析。他们描述了低血糖时出现的以下神经症状：阵发性意识障碍，包括癫痫发作；假性中风；假性肿瘤；昏迷状态。本文提出了原发性脑部疾病与低血糖症神经低血糖症状之间的鉴别标准。这些标准包括在早晨和长时间空腹后出现意识障碍、对甜食过度渴望、局灶性和全身性脑症状的程度从轻度晕厥状态到明显的局灶性神经症状的波动、所有脑电图导联出现高幅慢波活动以及静脉注射葡萄糖的疗效。结果表明，低血糖可能表现为各种脑部疾病，反复发生低血糖状态可能导致伴有各种局灶性神经症状的继发性代谢性脑病。
