Neuroglycopenia: Difference between revisions

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{{Neuroglycopenia}}
{{Neuroglycopenia}}
'''For patient information, click [[{{PAGENAME}} (patient information)|here]].'''
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==Symptoms==
==[[Neuroglycopenia overview|Overview]]==
 
==[[Neuroglycopenia classification|Classification]]==
 
==[[Neuroglycopenia pathophysiology|Pathophysiology]]==
 
==[[Neuroglycopenia causes|Causes]]==
 
==[[Neuroglycopenia differential diagnosis|Differentiating Neuroglycopenia from other Diseases]]==
 
==[[Neuroglycopenia epidemiology and demographics|Epidemiology and Demographics]]==
 
==[[Neuroglycopenia risk factors|Risk Factors]]==
 
==[[Neuroglycopenia natural history, complications and prognosis|Natural History, Complications and Prognosis]]==


* Abnormal mentation, impaired judgement
==Diagnosis==
* Nonspecific [[dysphoria]], [[anxiety]], moodiness, [[depression]], crying, fear of dying
[[Neuroglycopenia history and symptoms|History and Symptoms]] | [[Neuroglycopenia physical examination|Physical Examination]] | [[Neuroglycopenia laboratory findings|Laboratory Findings]] | [[Neuroglycopenia electrocardiogram|Electrocardiogram]] | [[Neuroglycopenia CT|CT]] | [[Neuroglycopenia MRI|MRI]] | [[Neuroglycopenia other imaging findings|Other Imaging Findings]] | [[Neuroglycopenia other diagnostic studies|Other Diagnostic Studies]]
* Negativism, irritability, belligerence, combativeness, rage
* Personality change, emotional lability
* [[Fatigue]], [[weakness]], [[apathy]], [[lethargy]], daydreaming, sleep
* [[Confusion]], [[amnesia]], [[dizziness]], [[delirium]]
* Staring, "glassy" look, blurred vision, [[double vision]]
* Automatic behavior
* Difficulty speaking, slurred speech
* [[Ataxia]], incoordination, sometimes mistaken for "drunkenness"
* Focal or general motor deficit, paralysis, hemiparesis
* [[Paresthesias]], [[headache]]  
* [[Stupor]], [[coma]], abnormal breathing
* Generalized or [[focal seizures]]  


Not all of the above manifestations occur in every case of hypoglycemia. There is no consistent order to the appearance of the symptoms. Specific manifestations vary by age and by the severity of the hypoglycemia. In older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. In the elderly, hypoglycemia can produce focal stroke-like effects or a hard-to-define malaise. The symptoms of a single person do tend to be similar from episode to episode.
==Treatment==
[[Neuroglycopenia medical therapy|Medical Therapy]] | [[Neuroglycopenia primary prevention|Primary Prevention]] | [[Neuroglycopenia secondary prevention|Secondary Prevention]] | [[Neuroglycopenia cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Neuroglycopenia future or investigational therapies|Future or Investigational Therapies]]


In the large majority of cases, hypoglycemia severe enough to cause seizures or unconsciousness can be reversed without obvious harm to the brain. Cases of death or permanent neurologic damage occurring with a single episode have usually involved prolonged, untreated unconsciousness, interference with breathing, severe concurrent disease, or some other type of vulnerability. Nevertheless, brain damage or death has occasionally resulted from severe hypoglycemia (e.g., [[Sunny von Bülow]]).
==Case Studies==
[[Neuroglycopenia case study one|Case #1]]


==Physical Examination==
==Related Chapters==
===Neurologic===
*[[Hypoglycemia]]
* Generalized or [[focal seizures]]  
* Focal or general motor deficit, paralysis, hemiparesis
* Weakness
* Ataxia, incoordination


==References==
{{Reflist|2}}
[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Medical emergencies]]
[[Category:Medical emergencies]]

Latest revision as of 16:51, 4 March 2013

Neuroglycopenia Microchapters

Home

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Overview

Classification

Pathophysiology

Causes

Differentiating Neuroglycopenia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

CT

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

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Risk calculators and risk factors for Neuroglycopenia

For patient information, click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Classification

Pathophysiology

Causes

Differentiating Neuroglycopenia from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | CT | MRI | Other Imaging Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Related Chapters

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