Abstract
Hypoglycemia manifests as hemiparesis, mimicking stroke. Diffusion-weighted MRI (DWI) is a useful method to detect early brain injury in acute ischemia, but is less well known in hypoglycemia-induced hemiparesis [1–3]. Brain changes due to hypoglycemia are reversible, but irreversible changes can occur if not treated promptly. In the literature, there are limited reports about DWI features of transient hypoglycemia in which diffusion correction is shown starting from 12 h to 2 or 3 days following correction of hypoglycemia. We presented a case of hypoglycemic encephalopathy in which diffusion restriction almost rapidly resolved in 2 h following glucose infusion, probably due to the patient's young age.
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