Neuroradiology

, Volume 29, Issue 4, pp 398–400

Computed tomographic imaging of the brain in after hypoglycemia coma

  • A. Iwai
  • T. Sakamoto
  • Y. Kinoshita
  • J. Yokota
  • T. Yoshioka
  • T. Sugimoto
Case Reports

DOI: 10.1007/BF00348923

Cite this article as:
Iwai, A., Sakamoto, T., Kinoshita, Y. et al. Neuroradiology (1987) 29: 398. doi:10.1007/BF00348923

Summary

A case of severe hypoglycemic coma was studied by sequential Computed Tomographic Imaging (CT) of the brain. The CT 1) was normal in the early stage, 2) subsequently showed a low density area, which was enhanced by the contrast medium, in the cerebral cortex and the boundary zone between the major cerebral arteries, and 3) revealed marked enhancement in the entire cortical region and hypodensity in the periventricular region in the late stage. These CT findings, representing the course of neural cell damage by severe hypoglycemia, are discussed from the pathophysiological viewpoint.

Key words

Computed Tomographic ImagingBrainHypoglycemiaWatershed low density areaDiffuse cortical enhancement

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • A. Iwai
    • 1
  • T. Sakamoto
    • 1
  • Y. Kinoshita
    • 1
  • J. Yokota
    • 1
  • T. Yoshioka
    • 1
  • T. Sugimoto
    • 1
  1. 1.Department of TraumatologyOsaka University HospitalOsakaJapan