Journal of Neurocritical Care (대한신경집중치료학회지)

The Korean Neurocritical Care Society (대한신경집중치료학회)
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Cardiac Arrest in Conjunction with Hypoglycemia in a Non-Diabetic Patient with Cerebral Infarction

당뇨병이 없는 뇌경색 환자에서 발생한 저혈당과 동반된 심정지

  • Ko, Jeongmin (Department of Neurology, Yonsei University Wonju College of Medicine) ;
  • Lee, Ji-Yong (Department of Neurology, Yonsei University Wonju College of Medicine)
  • 고정민 (연세대학교 원주의과대학 신경과학교실) ;
  • 이지용 (연세대학교 원주의과대학 신경과학교실)
  • Received : 2018.10.22
  • Accepted : 2018.12.06
  • Published : 2018.12.30
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Abstract

Background: Hypoglycemia is uncommon in people without diabetes. There have been only a few reports of cardiac arrest in conjunction with hypoglycemia in non-diabetic patients. Case Report: A 66-year-old man visited the emergency room with dizziness. He was a chronic alcoholic. Laboratory test showed no evidence of diabetes mellitus. Brain magnetic resonance imaging revealed a left cerebellar infarction. Abdomen computed tomography demonstrated liver cirrhosis with minimal ascites. During his hospital stay, he consumed only a small amount of food because of nausea and headache. On hospital day 4, he had a cardiac arrest after two seizure episodes. His blood glucose was 10 mg/dL. The combination of liver cirrhosis, renal failure and poor oral intake was presumed to be the causes of the severe hypoglycemia. Conclusion: We report a rare case of cardiac arrest occurring in conjunction with severe hypoglycemia in a non-diabetic patient with cerebral infarction.

Keywords

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