Neuroimaging in Patients with Abnormal Blood Glucose Levels

被引:53
作者
Bathla, G. [1 ]
Policeni, B. [1 ]
Agarwal, A. [2 ]
机构
[1] Univ Iowa Hosp & Clin, Dept Radiol, Iowa City, IA 52242 USA
[2] Penn State Coll Med, Milton S Hershey Med Ctr, Hershey, PA USA
关键词
APPARENT DIFFUSION-COEFFICIENT; HEMICHOREA-HEMIBALLISMUS SYNDROME; MR-IMAGING FINDINGS; NONKETOTIC HYPERGLYCEMIA; WEIGHTED MR; HYPOGLYCEMIC HEMIPARESIS; NEONATAL HYPOGLYCEMIA; REVERSIBLE REDUCTION; CHOREA-BALLISMUS; BRAIN;
D O I
10.3174/ajnr.A3486
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Smooth neuronal functioning requires an uninterrupted supply of energy that is provided by glucose under normal physiologic conditions. Significant variations in plasma glucose levels, be it hypoglycemia or hyperglycemia, can present with myriad clinical manifestations and may mimic stroke. At times, the diagnosis is either not apparent or not clinically suspected. Imaging can suggest the diagnosis in unsuspected cases and can help in the assessment of the extent of neuronal damage in known cases, making it vital for the neuroradiologist to be aware of both common and atypical neuroimaging findings in hypoglycemia and hyperglycemia.
引用
收藏
页码:833 / 840
页数:8
相关论文
共 61 条
[51]  
Shan DE, 1998, AM J NEURORADIOL, V19, P863
[52]  
Shan Din-E, 2004, Acta Neurol Taiwan, V13, P170
[53]  
SPAR JA, 1994, AM J NEURORADIOL, V15, P1477
[54]   Occipital lobe injury and cortical visual outcomes after neonatal hypoglycemia [J].
Tam, Emily W. Y. ;
Widjaja, Elysa ;
Blaser, Susan I. ;
MacGregor, Daune L. ;
Satodia, Prakash ;
Moore, Aideen M. .
PEDIATRICS, 2008, 122 (03) :507-512
[55]   Hypoglycemia is Associated with Increased Risk for Brain Injury and Adverse Neurodevelopmental Outcome in Neonates at Risk for Encephalopathy [J].
Tam, Emily W. Y. ;
Haeusslein, Laurel A. ;
Bonifacio, Sonia L. ;
Glass, Hannah C. ;
Rogers, Elizabeth E. ;
Jeremy, Rita J. ;
Barkovich, A. James ;
Ferriero, Donna M. .
JOURNAL OF PEDIATRICS, 2012, 161 (01) :88-93
[56]   Reversible diffusion-weighted Imaging changes in the splenium of the corpus callosum and internal capsule associated with hypoglycemia [J].
Terakawa, Yuzo ;
Tsuyuguchi, Naohiro ;
Nunomura, Katsuyuki ;
Murayama, Naoaki ;
Fujishige, Masahito ;
Yamamura, Akinori ;
Nakagawa, Toshio ;
Hashi, Kazuo .
NEUROLOGIA MEDICO-CHIRURGICA, 2007, 47 (10) :486-488
[57]   Brain imaging in neonatal hypoglycaemia [J].
Traill, Z ;
Squier, M ;
Anslow, P .
ARCHIVES OF DISEASE IN CHILDHOOD-FETAL AND NEONATAL EDITION, 1998, 79 (02) :F145-F147
[58]   Roles of circadian rhythmicity and sleep in human glucose regulation [J].
VanCauter, E ;
Polonsky, KS ;
Scheen, AJ .
ENDOCRINE REVIEWS, 1997, 18 (05) :716-738
[59]   Hyperglycemia with occipital seizures: Images and visual evoked potentials [J].
Wang, CP ;
Hsieh, PF ;
Chen, CCC ;
Lin, WY ;
Hu, WH ;
Yang, DY ;
Chang, TH .
EPILEPSIA, 2005, 46 (07) :1140-1144
[60]  
Wintermark M, 2004, AM J NEURORADIOL, V25, P975