Hypoglycemia associated with brain damage: a case report

Article type: Research Article

Authors: Kilickesmez, Ozgur | Yilmaz, Ahmet

Affiliations: Departments of Radiology, Dört D. Millet Hospital, Çorlu, Tekirdag, Turkey | Departments of Pediatrics, Dört D. Millet Hospital, Çorlu, Tekirdag, Turkey

Note: [] Correspondence: Ozgur Kiliçkesmez, M.D., Bahçelievler 4. Aralik 5/5 A. Dereli Apt., Çorlu, Tekirdag, 59860, Turkey. Tel.: +90 532 734 61 96; Fax: +90 282 654 04 13; E-mail: [email protected]

Abstract: We report a case of a 7-month-old infant with serial magnetic resonance imaging (MRI) confirmation of the neonatal hypoglycemia induced brain damage. Cranial MRI on day 17 revealed T1 and T2 prolongation of cortical and white matter in the parietal and occipital lobes bilaterally. A control cranial MRI on the seventh month showed shrunken and atrophied cortex and underlying white matter of the occipital and parietal lobes. Early and accurate diagnosis is critical in these patients, brain MRI is useful to assess the severity of brain damage associated with neonatal hypoglycemia. Besides detection of hypoglycemia, it is very important to find out underlying disorder to prevent sequelae.

Keywords: neonatal hypoglycemia, MRI, cerebral atrophy

Journal: Journal of Pediatric Neurology, vol. 3, no. 2, pp. 117-120, 2005