Neuropathology of hypoglycaemic brain injury

نویسندگان

چکیده

It has long been recognised that the neurobiochemistry of hypoglycaemic brain injury differs markedly from hypoxic-ischaemic injury. The neuropathology may also be distinctive. Such distinctive changes, aiding discrimination injury, are though commonly absent even in cases biochemically proved profound hypoglycaemia. Neuronal depletion or necrosis only observed 29% cases. Autopsy findings suspected insulin overdose oral agents not uncommonly non-specific. should appreciated neuronal death due to intervene after a sustained period blood glucose levels below 1 mmol/l and EEG tracing become silent. modified by concurrent hypoxia resulting concomitant cardiorespiratory depression seizures. Atypical presentations include strikingly asymmetric involvement cerebral hemispheres. further postmortem neurogenic pulmonary oedema (seen over half cases). majority drug represent suicides (66%) with remainder representing accidental poisoning homicide, most implicated (around 95%). In paediatric practice, hypoglycaemia frequently occurs newborn infants who previously suffered asphyxia, offspring diabetic mothers low birth weight for gestational age. immature is relatively resistant damaging effects Hypoglycaemia this age group combined particular more deleterious than either condition alone.

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ژورنال

عنوان ژورنال: Pathology

سال: 2023

ISSN: ['1465-3931', '0031-3025']

DOI: https://doi.org/10.1016/j.pathol.2022.12.041