Hipoglicemia recurrente como causa reversible de síndrome demencial en adultos mayores diabéticos, a propósito de un caso

• ANDRÉS AIZMAN ^[1] ; LUIS MANUEL SANHUEZA A ^[1] ; MIRENTXU IRURETAGOYENA ^[1] ; EDUARDO ABBOTT ^[1] ; JUAN CARLOS RODRÍGUEZ ^[1] ; LUIS ROJAS ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 10, 2010, págs. 1285-1287
• Idioma: español
• Títulos paralelos:
  • Cognitive impairment probably related to repeated episodes of hypoglycemia. Report of one case
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• Resumen

  • We report a 78 year-old diabetic woman, treated with gliburide and metformin, consulting in the emergency room for a non fuctuating impairment in consciousness. She had a history of similar episodes in the last two months. A brain CAT scan showed an old putamen lacunar infarction. Noteworthy was the presence of a low glycosilated hemoglobin level of 5.2%. Hypoglycemic medications were discontinued and the patient was discharged in good conditions. After six months of follow up, the patient did not have further episodes of impairment of consciousness.