Cardiogenic cerebral embolism caused by a severe hypoglycemic attack : a case report

Hiroshi Koyama; Mika Fujiwara; Shinya Okita; Norihito Shirakawa; Hirotsugu Yamada; Hiroyuki Ito; Yasushi Takagi; Masaaki Uno; Kenji Yagi; Syunji Matsubara; Keijiro Hara

doi:10.2152/jmi.67.362

Cardiogenic cerebral embolism caused by a severe hypoglycemic attack : a case report

Hiroshi Koyama, Mika Fujiwara, Shinya Okita, Norihito Shirakawa, Hirotsugu Yamada, Hiroyuki Ito, Yasushi Takagi, Masaaki Uno, Kenji Yagi, Syunji Matsubara, Keijiro Hara

Author information

Hiroshi Koyama
Department of Neurosurgery, Takamatsu municipal hospital, Kagawa, Japan
Department of Neurosurgery, Kawasaki medical school hopsptal, Okayama, Japan
Department of Neurosurgery, Tokushima university hospital, Tokushima, Japan
Mika Fujiwara
Department of Cardiovascular medicine, Takamatsu municipal hospital, Kagawa, Japan
Shinya Okita
Department of Neurosurgery, Takamatsu municipal hospital, Kagawa, Japan
Norihito Shirakawa
Department of Neurosurgery, Takamatsu municipal hospital, Kagawa, Japan
Hirotsugu Yamada
Department of Cardiovascular medicine Tokushima university hospital, Tokushima, Japan
Hiroyuki Ito
Department of Cardiovascular medicine, Takamatsu municipal hospital, Kagawa, Japan
Yasushi Takagi
Department of Neurosurgery, Tokushima university hospital, Tokushima, Japan
Masaaki Uno
Department of Neurosurgery, Kawasaki medical school hopsptal, Okayama, Japan
Kenji Yagi
Department of Neurosurgery, Kawasaki medical school hopsptal, Okayama, Japan
Syunji Matsubara
Department of Neurosurgery, Kawasaki medical school hopsptal, Okayama, Japan
Keijiro Hara
Department of Neurosurgery, Kawasaki medical school hopsptal, Okayama, Japan

Keywords: hypoglycemic attack, cerebral infarction, takotsubo syndrome, takotsubo cardiomyopathy, cardiogenic cerebral embolism

JOURNAL FREE ACCESS

2020 Volume 67 Issue 3.4 Pages 362-364

DOI https://doi.org/10.2152/jmi.67.362

Details

Abstract

The direct relationship between a hypoglycemic attack and cerebral infarction remains unknown. It has been reported that a hypoglycemic attack can result in takotsubo syndrome, leading to cerebral infarction. We report a case of a cardiogenic cerebral embolism caused by a hypoglycemic attack, with additional literature review. A 71-year-old woman was admitted to our hospital in a semi-comatose state due to a severe hypoglycemic attack ; she developed hemiplegia one day after admission. Magnetic resonance imaging revealed cerebral infarction in the area supplied by the left middle cerebral artery. Takotsubo syndrome was suspected based on echocardiography. We diagnosed cerebral embolism due to takotsubo syndrome, caused by the hypoglycemic attack. J. Med. Invest. 67 : 362-364, August, 2020

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