Cardiogenic cerebral embolism caused by a severe hypoglycemic attack : a case report
Autor: | Hirotsugu Yamada, Syunji Matsubara, Norihito Shirakawa, Shinya Okita, Mika Fujiwara, Hiroshi Koyama, Keijiro Hara, Kenji Yagi, Yasushi Takagi, Masaaki Uno, Hiroyuki Ito |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
General Biochemistry Genetics and Molecular Biology 03 medical and health sciences 0302 clinical medicine Left middle cerebral artery Cerebral embolism Takotsubo Cardiomyopathy Internal medicine medicine takotsubo syndrome Humans Aged Takotsubo syndrome medicine.diagnostic_test Cerebral infarction business.industry Magnetic resonance imaging General Medicine cerebral infarction medicine.disease Magnetic Resonance Imaging Hypoglycemia Intracranial Embolism 030228 respiratory system 030220 oncology & carcinogenesis Cardiology Female business cardiogenic cerebral embolism hypoglycemic attack |
Zdroj: | The Journal of Medical Investigation. 67:362-364 |
ISSN: | 1349-6867 1343-1420 |
DOI: | 10.2152/jmi.67.362 |
Popis: | The direct relationship between a hypoglycemic attack and cerebral infarction remains unknown. It has been reported that a hypoglycemic attack can result in takotsubo syndrome, leading to cerebral infarction. We report a case of a cardiogenic cerebral embolism caused by a hypoglycemic attack, with additional literature review. A 71-year-old woman was admitted to our hospital in a semi-comatose state due to a severe hypoglycemic attack ; she developed hemiplegia one day after admission. Magnetic resonance imaging revealed cerebral infarction in the area supplied by the left middle cerebral artery. Takotsubo syndrome was suspected based on echocardiography. We diagnosed cerebral embolism due to takotsubo syndrome, caused by the hypoglycemic attack. J. Med. Invest. 67 : 362-364, August, 2020. |
Databáze: | OpenAIRE |
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