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Case No. 517
2019-05-01~2019-05-31
출제자 : 이아름
Hit : 620
| Period | 2019-05-01~2019-05-31 |
|---|---|
| Diagnosis | Hypoglycemic encephalopathy |
| Gender |
|
| Age | 50 |
| Clinical information | F/50 임상정보: dysarthria, general weakness, underlying DM 진단은? |
| Discussion | # Hypoglycemic encephalopathy - Results from prolonged or severe hypoglycemia - Hypoglycemia leads to cellular energy deficit, resulting in sodium/potassium pump failure and cellular swelling and tissue alkalosis. - MRI findings T2/FLAIR high SI Diffusion restriction Gray matter involvement Cerebral cortex, hippocampus, BG Cerebellum and brainstem are usually spared White matter involvement Centrum semiovale, PVWM Internal capsule, corpus callosum splenium Middle cerebellar peduncle |
| Correct answer |
Correct Answer
Semi-Correct Answer |