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Case No. 588
2021-05-01~2021-05-31
출제자 : 이아름
Hit : 468
| Period | 2021-05-01~2021-05-31 |
|---|---|
| Diagnosis | Hypoglycemic encephlopathy |
| Gender |
|
| Age | 54 |
| Clinical information | 54/M C.C: mental change Clinical history: Liver cirrhosis, chronic alcoholics 가장 가능성이 높은 진단은? |
| Discussion | 환자의 glucose level : 30mg/dl Hypoglycemic Encephalopathy : Imaging pattern T2 hyperintensity & diffusion restriction 3 Imaging Patterns (n=17) - Both gray and white matter (n=8) - Gray matter (n=4) - White matter (n=5) Bilaterally symmetric involvement (n=16/17) Imaging pattern is not correlated with - Initial blood glucose levels - Diabetes duration Gray matter involvement (n=12) - Cerebral cortex, hippocampus, BG - Cerebellum & brainstem are usually spared. White matter involvement (n=13) - centrum semiovale, PVWM internal capsule, corpus callosum splenium middle cbl. peduncle ref.) Neuroradiology 2009;51:641–649 |
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