Central pontine myelinolysis and ataxia: an unusual manifestation of hypoglycaemia

Diabetic Medicine : a Journal of the British Diabetic Association
S M RajbhandariJ D Ward

Abstract

Hypoglycaemia is common in people with diabetes who aim to achieve good blood glucose control. Severe hypoglycaemia presents with evidence of neurological dysfunction, such as inability to concentrate, confusion, seizures, and coma. Such disturbances are reversible on correction of the hypoglycaemia. Infrequently there may be a focal neurological deficit and we report one such case presenting with cerebellar symptoms following an episode of severe hypoglycaemia. A magnetic resonance scan showed features consistent with the presence of central pontine myelinolysis. The symptoms resolved within a few months with only minimal residual neurological deficit.

Citations

Nov 15, 2007·Journal of General Internal Medicine·Jonathan P B Berz, Jay D Orlander
Sep 11, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·M SchwaningerW Hacke
Sep 20, 2005·General Hospital Psychiatry·Nobuyasu BandoTetsuro Ohmori
Dec 3, 2011·Journal of the Neurological Sciences·Priya JagotaAnthony E Lang
Feb 16, 2013·AJNR. American Journal of Neuroradiology·F Y IsmailM Ljubisavljevic
Jul 10, 2003·Lancet Neurology·Teresa GarzonAdolfo Diez-Perez
Jul 23, 2008·Diabetic Medicine : a Journal of the British Diabetic Association·S VallurupalliM G Jakoby
Jan 18, 2006·Journal of Neuropathology and Experimental Neurology·B K Kleinschmidt-DemastersChristopher M Filley
Oct 27, 2006·Histopathology·S G Hübscher
Aug 20, 2010·Cell Transplantation·Luciana B Sant'AnnaOrnella Parolini
Nov 23, 2000·Intensive Care Medicine·E PuruckerS Matern
Jan 10, 2014·Journal of Cellular and Molecular Medicine·Kelly McDanielFanyin Meng
Sep 29, 1999·Endocrinology and Metabolism Clinics of North America·A N Lteif, W F Schwenk

❮ Previous
Next ❯

Related Concepts

Related Feeds

Autoimmune Diabetes & Tolerance

Patients with type I diabetes lack insulin-producing beta cells due to the loss of immunological tolerance and autoimmune disease. Discover the latest research on targeting tolerance to prevent diabetes.

Ataxias (MDS)

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Ataxia

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on ataxia here.

Related Papers

Revista de investigación clínica; organo del Hospital de Enfermedades de la Nutrición
Luis Eduardo Morales-BuenrostroJuan C Rojas-Bautista
Journal of Computer Assisted Tomography
R L RaglandJ G Rabinowitz
© 2022 Meta ULC. All rights reserved