Pediatric Neurology
Volume 24, Issue 5 , Pages 385-386 , May 2001

Recurrent hypoglycemic hemiparesis and aphasia in an adolescent patient

  • Eric H Kossoff, MD

      Affiliations

    • Department of Pediatrics and Neurology; Johns Hopkins Hospital; Baltimore, MD, USA
    • Corresponding Author InformationCommunications should be addressed to: Dr. Kossoff; Division of Pediatric Neurology; Johns Hopkins Hospital-Pathology 509; 600 North Wolfe Street; Baltimore, MD 21287
    • ,
  • Rebecca N Ichord, MD

      Affiliations

    • Department of Pediatrics and Neurology; Johns Hopkins Hospital; Baltimore, MD, USA
    • ,
  • Ann M Bergin, MB, MRCP

Received 28 August 2000 ,Accepted 5 February 2001.

References 

  1. Spiller HA, Schroeder SL, Ching DS. Hemiparesis and altered mental status in a child after glyburide ingestion. J Emerg Med. 1998;16:433–435
  2. Wallis WE, Donaldson I, Scott RS, Wilson J. Hypoglycemia masquerading as cerebrovascular disease (hypoglycemic hemiplegia). Ann Neurol. 1985;18:510–512
  3. Fischer AE, Florman AL. Transitory hemiplegia associated with hypoglycemia in a diabetic child with congenital heart disease. Am J Dis Child. 1943;65:73–76
  4. Ingram TTS, Stark GD, Blackburn I. Ataxia and other neurological disorders as sequels of severe hypoglycemia in childhood. Brain. 1967;90:851–862
  5. MacDonald JT, Brown DR. Acute hemiparesis in juvenile insulin-dependent diabetes mellitus (JIDDM). Neurology. 1979;29:893–896
  6. Wayne EA, Dean HJ, Booth F, Tenenbein M. Focal neurologic deficits associated with hypoglycemia in children with diabetes. J Pediatr. 1990;117:575–577
  7. Boylan-Starks L. Hypoglycemic hemiplegia (A case study). Heart Lung. 1995;24:330–332
  8. Pocecco M, Ronfani L. Transient focal neurologic deficits associated with hypoglycemia in children with insulin-dependent diabetes mellitus. Acta Paediatr. 1998;87:542–544
  9. Shehadeh N, Kassem J, Tchaban I, et al.  A high incidence of hypoglycemic episodes with neurologic manifestations in children with insulin dependent diabetes mellitus. J Pediatr Endocrinol Metab. 1998;11(Suppl 1):183–187
  10. Lala VR, Vedanarayana VV, Ganesh S, Fray C, Iosub S, Noto R. Hypoglycemic hemiplegia in an adolescent with insulin-dependent diabetes mellitus (A case report and a review of the literature). J Emerg Med. 1989;7:233–236
  11. Wattoo MA, Liu HH. Alternating transient dense hemiplegia due to episodes of hypoglycemia. West J Med. 1999;170:170–171
  12. Foster JW, Hart RG. Hypoglycemic hemiplegia (Two cases and a clinical review). Stroke. 1987;18:944–946
  13. Malouf R, Brust JCM. Hypoglycemia (Causes, neurological manifestations, and outcome). Ann Neurol. 1985;17:421–430
  14. Jarjour IT, Ryan CM, Becker DJ. Regional cerebral blood flow during hypoglycemia in children with IDDM. Diabetologia. 1995;38:1090–1095

PII: S0887-8994(01)00257-0

Pediatric Neurology
Volume 24, Issue 5 , Pages 385-386 , May 2001

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