Intoxication with oral hypoglycemics as a cause of diffuse brain injury: case report.

OBJECTIVE To present the imaging findings of a patient with diffuse brain injury secondary to intoxication with oral hypoglycemics. CASE REPORT A nine years-old boy presented with generalized tonic-clonic convulsions and decreased consciousness. Laboratory investigation demonstrated blood glucose level of 21 mg/dL. The magnetic resonance imaging showed cortical and subcortical temporo-parieto-occipital areas of high signal on T2 and low signal on T1, with high signal on the diffusion-weighted images and low signal on apparent diffusion coefficient maps. CONCLUSION Cortical and subcortical temporal, parietal and occipital ischemic lesions may be seen in patients with intoxication by oral hypoglycemics.