Rapid improvement of diffusion-weighted imaging abnormalities after glucose infusion in hypoglycaemic coma

Abstract

A 54-year-old woman was taken to an emergency department after being found in an unresponsive state. The patient had had type 2 diabetes mellitus, hypertension and hyperlipidaemia for 7 years, controlled by oral drugs. On arrival, she was comatose (Glasgow Coma Scale 4; E1, V1, M2). Her pupils exhibited isocoria (2 mm/2 mm) and were reactive to light. Tetraparesis and decerebrate rigidity to pain was evident. Her blood pressure was 91/40 mm Hg and her heart rate …