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Research ArticleBrainC

Serum Calcium Concentration Affects Signal Changes on Diffusion-Weighted Imaging in Hypoglycemic Encephalopathy

E. Koh, L.-K. Tsai and C.-T. Hong
American Journal of Neuroradiology February 2012, 33 (2) 297-300; DOI: https://doi.org/10.3174/ajnr.A2766
E. Koh
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L.-K. Tsai
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C.-T. Hong
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    Fig 1.

    DWI studies in patients with HE show abnormal signals at the bilateral temporo-occipital lobes, patient 1 (A); bilateral precentral gyrus, patient 2 (B); and bilateral internal capsules, patient 3 (C).

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  • Summary of clinical features and lesion distributions on DWI in patients with hypoglycemic encephalopathy

    No.Age (yr)SexSBP (mm Hg)Body Temp (°C)GCSGlucose (mg/dL)Ca (mg/dL)Na (mg/dL)Cr (mg/dL)EEGHypoglycemia-DWI Interval (hr)DWI LesionsOutcome
    176F15539.4536101370.7Diffuse slow waves, 2–7 Hz48Bilateral internal capsules, centrum semiovale, precentral gyrus, and temporo-parieto-occipital regionsComa
    273F14137.59249.61341.28Diffuse slow waves, 2–5 Hz36Bilateral precentral gyrusRecovered
    376M11636.25378.71350.93ND6Bilateral internal capsules, precentral gyrusRecovered
    447F12935.97419.71360.7Normal48–Recovered
    583M18637.084961410.99Diffuse slow waves, 3–6 Hz55–Recovered
    678F14736.872551324.1ND24–Coma
    764F16134.36377.81382.22Diffuse slow waves, 2–5 Hz8–Recovered
    857M8136.29395.21423.59Diffuse slow waves, 3–4 Hz120–Recovered
    978M12736.910358.61370.65Diffuse slow waves, 4–7 Hz9–Recovered
    • Note:—Ca indicates calcium; Cr, creatinine; Na, sodium; ND, not performed; Temp, temperature; SBP, systolic blood pressure; –, no DWI lesion.

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American Journal of Neuroradiology: 33 (2)
American Journal of Neuroradiology
Vol. 33, Issue 2
1 Feb 2012
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Serum Calcium Concentration Affects Signal Changes on Diffusion-Weighted Imaging in Hypoglycemic Encephalopathy
E. Koh, L.-K. Tsai, C.-T. Hong
American Journal of Neuroradiology Feb 2012, 33 (2) 297-300; DOI: 10.3174/ajnr.A2766

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Serum Calcium Concentration Affects Signal Changes on Diffusion-Weighted Imaging in Hypoglycemic Encephalopathy
E. Koh, L.-K. Tsai, C.-T. Hong
American Journal of Neuroradiology Feb 2012, 33 (2) 297-300; DOI: 10.3174/ajnr.A2766
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