Pietrzykowska I
Kliniki Neurologii II Wydziału Lekarskiego, Akademii Medycznej w Warszawie.
Neurol Neurochir Pol. 1995 Jan-Feb;29(1):85-9.
A 63-year-old woman with long lasting diabetes, irregularly nourished and treated with oral antidiabetic drugs, developed hyperkinetic movements in the upper and lower extremities and facial muscles, as well as some disturbances of consciousness. The EEG showed generalized slowing of bioelectrical activity, serum glucose level was 69 mg%. Nevertheless after the antidiabetic drugs were withdrawn and the meals regulated, a normalization of the clinical picture and the EEG was observed. Therefore it seems that the patient was very sensitive to even minor hypoglycemia and the diagnosis of subacute hypoglycemic encephalopathy was made.
一名63岁女性，患有长期糖尿病，营养状况不佳，一直口服降糖药治疗，出现了上下肢及面部肌肉的运动增多，以及一些意识障碍。脑电图显示生物电活动普遍减慢，血清葡萄糖水平为69毫克%。然而，在停用降糖药并调整饮食后，临床症状和脑电图均恢复正常。因此，该患者似乎对即使是轻微的低血糖也非常敏感，诊断为亚急性低血糖性脑病。
