Journal of Child Neurology

 

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Journal of Child Neurology, Vol. 22, No. 2, 228-231 (2007)
DOI: 10.1177/0883073807300299

Bilateral Basal Ganglia Lesions After Hypoglycemic Coma in a 6-Year-Old Child

Cengiz Kara, MD

Department of Pediatric Endocrinology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey

Ömer Faruk Aydin, MD

Department of Pediatric Neurology, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey, ofaydin{at}yahoo.com

Belma Aslan, MD

Division of Radiology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey

Y.K. Yavuz Gürer, MD

Department of Pediatric Neurology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey

Imaging findings of brain damage due to neonatal hypoglycemia are known; however, the effect of childhood hypoglycemia on the brain has not been described well. The authors present the case of a 6-year-old girl who had seizures secondary to hypoglycemia followed up for 1 year as epilepsy. The patient had experienced a hypoglycemic coma attack about 1 year before. Brain magnetic resonance imaging showed atrophy of the cerebrum and cerebellum and bilateral symmetrically hyperintense lesions in the putamina. The patient was diagnosed with hypoglycemia due to hyperinsulinism.

Key Words: basal ganglia lesions • hypoglycemia • magnetic resonance imaging


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