糖尿病酮症酸中毒致一过性同向性偏盲和全面性癫痫:1例报告并文献复习。

Q3 Medicine

Wisconsin Medical Journal Pub Date : 2023-05-01

Felix E Chukwudelunzu, Leonardo Fugoso

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引用次数: 0

摘要

导读:高血糖的神经系统并发症是常见的。非酮症性高血糖引起癫痫发作和偏盲的病例有报道，但与糖尿病酮症酸中毒有关的病例很少。病例介绍:我们报告了一例糖尿病酮症酸中毒合并全面性癫痫和同型偏视的临床、实验室和影像学表现，并对已报道的病例进行了文献回顾。讨论:高血糖的神经系统并发症有很多，但癫痫伴偏视最常与非酮症性高渗性高血糖相关，而不是糖尿病酮症酸中毒。结论:糖尿病酮症酸中毒的神经系统并发症为全身性癫痫发作和视交叉后视野缺损。与非酮症性高渗性高血糖一样，这些神经系统症状是短暂的，磁共振成像显示的结构改变通常是可逆的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Diabetic Ketoacidosis Causing Transient Homonymous Hemianopia and Generalized Seizure: A Case Report and Literature Review.

Introduction: Neurologic complications of hyperglycemia are common. Cases of seizures and hemianopia related to nonketotic hyperglycemia have been reported but are rare with diabetic ketoacidosis.

Case presentation: We present clinical, laboratory, and radiologic findings in a patient with diabetic ketoacidosis associated with generalized seizure and homonymous hemianopia, with a literature review of reported cases.

Discussion: Neurologic complications of hyperglycemia are many, but seizure with hemianopia is most commonly associated with nonketotic hyperosmolar hyperglycemia rather than diabetic ketoacidosis.

Conclusions: Generalized seizure and retrochiasmal visual field defect are known neurological complications of diabetic ketoacidosis. Like nonketotic hyperosmolar hyperglycemia, these neurological symptoms are transient, and the structural changes in magnetic resonance imaging are usually reversible.

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来源期刊

Wisconsin Medical Journal Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.