Hypoglycemia-Induced Irreversible Brain Injury: A Case Report.

Publication/Presentation Date

6-1-2025

Abstract

Hypoglycemia-induced brain injury, though less common than hyperglycemia, can lead to significant neurological sequelae and mortality. We present a case of a 76-year-old female with a history of poorly controlled diabetes who presented with altered mental status and unresponsiveness. Despite the correction of hypoglycemia and supportive medical management, the patient's neurological status did not improve. Neurological examination revealed myoclonus and severe encephalopathy, prompting further investigation. Imaging studies, including contrast-enhanced CT and MRI of the head, demonstrated findings suggestive of metabolic brain injury, consistent with hypoglycemia-induced encephalopathy. Despite treatment, the patient's condition did not improve, and a decision was made to transition towards comfort-focused care with palliative extubation. This case underscores the challenges in managing hypoglycemia-induced encephalopathy and highlights the importance of timely recognition and intervention in preventing irreversible neurological damage.

Volume

17

Issue

6

First Page

86912

Last Page

86912

ISSN

2168-8184

Disciplines

Medicine and Health Sciences

PubMedID

40726866

Department(s)

Fellows and Residents

Document Type

Article

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