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.
Auer RN, Wieloch T., Olsson Y., Siesjo BKThe distribution of hypoglycemic brain damage. Acta Neuropathol (Berl). 1984;64:177-191.
8.
Hirabayashi S., Kitahara T., Hishida T.Computed tomography in perinatal hypoxic and hypoglycemic encephalopathy with emphasis on follow-up studies. J Comput Assist Tomogr.1980;4:451-456.
9.
Lawson JA, Vogrin S., Bleasel AF, et al. Cerebral and cerebellar volume reduction in children with intractable epilepsy. Epilepsia. 2000;41:1456-1462.
10.
Chalmers J. , Risk MT, Kean DM, et al. Severe amnesia after hypoglycemia: clinical, psychometric, and magnetic resonance imaging correlations. Diabetes Care. 1991;14:922-925.
