Paralysis in an adolescent

Southern Medical Journal
Krishan KumarHaidee Custodio

Abstract

An 18-year-old male with a history of diabetes presented with hemiparesis. His serum glucose was low, but did not fit the numerical criteria for hypoglycemia. His symptoms rapidly reversed after glucose infusion. This case illustrates crucial features of hypoglycemia. Symptoms may be atypical in the young adult population and may occur at levels higher than numerical definitions. Clinicians should be vigilant regarding the variability in symptoms of hypoglycemia and serum levels necessary to produce them. Lack of vigilance can lead to delayed critical intervention. Understanding this aspect of hypoglycemia also has implications for training prehospital personnel.

References

Oct 1, 1993·Journal of Diabetes and Its Complications·C LimbertM Borkenstein
Aug 23, 2001·Pediatric Neurology·E H KossoffA M Bergin
Dec 22, 2004·Progress in Neuro-psychopharmacology & Biological Psychiatry·Gabor S UngvariTony Leung

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Citations

Jan 18, 2012·Upsala Journal of Medical Sciences·Tetsuhiro YoshinoHiroshi Itoh

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