Reversible Diffusion-Weighted Imaging Changes in the Splenium of the Corpus Callosum and Internal Capsule Associated With Hypoglycemia —Case Report—

Yuzo TERAKAWA; Naohiro TSUYUGUCHI; Katsuyuki NUNOMURA; Naoaki MURAYAMA; Masahito FUJISHIGE; Akinori YAMAMURA; Toshio NAKAGAWA; Kazuo HASHI

doi:10.2176/nmc.47.486

Case Reports

Reversible Diffusion-Weighted Imaging Changes in the Splenium of the Corpus Callosum and Internal Capsule Associated With Hypoglycemia

—Case Report—

Yuzo TERAKAWA, Naohiro TSUYUGUCHI, Katsuyuki NUNOMURA, Naoaki MURAYAMA, Masahito FUJISHIGE, Akinori YAMAMURA, Toshio NAKAGAWA, Kazuo HASHI

Author information

Keywords: hypoglycemia, hypoglycemia-induced hemiparesis, diffusion-weighted magnetic resonance imaging, splenium

JOURNAL OPEN ACCESS

2007 Volume 47 Issue 10 Pages 486-488

DOI https://doi.org/10.2176/nmc.47.486

Details

Abstract

A 63-year-old man presented with hypoglycemia-induced hemiparesis manifesting as diffusion-weighted magnetic resonance (MR) imaging changes in the splenium of the corpus callosum and internal capsule which disappeared after glucose administration. Clinicians should be aware that hypoglycemia can cause reversible splenium abnormalities on MR imaging, although the underlying mechanism still remains unclear, as this may be helpful in the differential diagnosis of hypoglycemia-induced hemiparesis and stroke.

Corresponding author

Register with J-STAGE for free!