Amayo E O, Kayima J K, Amayo A A
Department of Clinical Chemistry, College of Health Sciences, University of Nairobi, Nairobi.
East Afr Med J. 1998 Jan;75(1):53-4.
A case of hypoglycaemia and three cases of hyperglycaemia presenting with focal neurological deficits are presented. The focal presentations were hemiparesis and focal convulsion that returned to normal upon correction of the blood sugar. Elderly patients not uncommonly present with transient focal neurologic deficits related to abnormalities in blood sugar levels. In these patients correction of blood sugar levels per se may ameliorate symptoms and signs making it unnecessary to investigate for cerebrovascular disease. In diabetic patients on insulin or oral hypoglycaemic agents focal neurologic deficit should alert the clinician on the possibility of hypoglycaemia.
本文报告了1例低血糖症和3例高血糖症患者，均表现为局灶性神经功能缺损。局灶性表现为偏瘫和局灶性惊厥，血糖纠正后恢复正常。老年患者常出现与血糖水平异常相关的短暂性局灶性神经功能缺损。对于这些患者，血糖水平的纠正本身可能会改善症状和体征，从而无需对脑血管疾病进行检查。对于使用胰岛素或口服降糖药的糖尿病患者，局灶性神经功能缺损应提醒临床医生注意低血糖的可能性。
