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American Journal of Neuroradiology 27:1222-1224, June-July 2006
© 2006 American Society of Neuroradiology

Case Report
BRAIN

Diffusion-Weighted MR Imaging in Early Diagnosis and Prognosis of Hypoglycemia

L. Lo^a, C.H.A. Tan^a, T. Umapathi^b and C.C. Lim^a,c

^a Departments of Neuroradiology, National University of Sinagpore, Singapore
^b Neurology, National Neuroscience Institute, National University of Sinagpore, Singapore
^c Department of Diagnostic Radiology, National University of Sinagpore, Singapore

Address correspondence to Dr. C. C. Lim, National Neuroscience Institute, 11 Jalan Tan Tock Seng, Singapore 308433

SUMMARY: We describe 2 cases of diffusion-weighted (DW) MR imaging in hypoglycemic coma. One patient, with diffuse cortical lesions, had a poor outcome, but the other, with transient white matter abnormalities, made a complete recovery. The distinctive patterns of DW MR imaging abnormalities in hypoglycemic patients should be recognized and may be a predictor of clinical outcome.

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