Hemiparesis and lateralized cortical lesions associated to severe hypoglycemia.

Dr. Marcus Sabry Azar Batista – Rua Olavo Bilac 1737 64001-020 Teresina PI Brasil. E-mail: [email protected] Severe hypoglycemia may occur as a complication of insulin therapy or as a consequence of accidental or suicidal insulin injections. It may result in a variety of neurological symptoms such as focal deficits, epileptic crisis, coma state and death. There is a relative rarity of reports about hypoglycemic-induced brain lesions. In newborns, the parieto-occipital region is the most affected. In adults, there is a greater variability, with reports of lesions in basal ganglia, hippocampus, temporal and occipital gray matter, insula cortex, corona radiata and splenium of the corpus callosum. The aim of this study is to report the case of a patient presenting coma, with left hemiparesis and brain lesions detected by computerized tomography scan (CT) and conventional magnetic resonance imaging (MRI). He had insulin-dependent diabetes mellitus and had a record of severe hypoglycemic episode.