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neuroglycopenia
hypoglycemia in brain
Pathology:
- alters brain function & behavior
- alters function of neurons
Clinical manifestations:
- impaired judgment
- dysphoria, anxiety, moodiness, depression
- fear of dying, suicidal thoughts
- irritability, belligerence, combativeness, rage
- personality change, emotional lability
- fatigue, weakness, apathy, lethargy
- confusion, amnesia, dizziness, delirium
- blurred vision, double vision
- difficulty speaking, slurred speech
- ataxia, focal or general motor deficit, paralysis, hemiparesis
- paresthesia, headache
- stupor, coma, abnormal breathing
- generalized or focal seizures
- loss of consciousness
- eventual death is not corrected
Laboratory:
- glucose in serum/plasma < 20 mg/dL
- glucose in CSF if hypoglycorrhachia suspected
Management:
- glucose
- glucagon
Specific
hypoglycorrhachia
General
hypoglycemia
References
- Wikipedia: Neuroglycopenia
https://en.wikipedia.org/wiki/Neuroglycopenia