• Neurol. Med. Chir. (Tokyo) · Oct 2007

    Case Reports

    Reversible diffusion-weighted imaging changes in the splenium of the corpus callosum and internal capsule associated with hypoglycemia - case report - .

    • Yuzo Terakawa, Naohiro Tsuyuguchi, Katsuyuki Nunomura, Naoaki Murayama, Masahito Fujishige, Akinori Yamamura, Toshio Nakagawa, and Kazuo Hashi.
    • Department of Neurosurgery, Osaka City University Graduate School of Medicine, Osaka, Japan. terakawa@msic.med.osaka-cu.ac.jp
    • Neurol. Med. Chir. (Tokyo). 2007 Oct 1;47(10):486-8.

    AbstractA 63-year-old man presented with hypoglycemia-induced hemiparesis manifesting as diffusion-weighted magnetic resonance (MR) imaging changes in the splenium of the corpus callosum and internal capsule which disappeared after glucose administration. Clinicians should be aware that hypoglycemia can cause reversible splenium abnormalities on MR imaging, although the underlying mechanism still remains unclear, as this may be helpful in the differential diagnosis of hypoglycemia-induced hemiparesis and stroke.

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