Open AccessACUTE TOMOGRAPHIC CHANGES OF METABOLIC ORIGIN MIMICKING BASAL GANGLIA HEMORRHAGE, CASE REPORT
Author(s) -
Paola Parra,
Santiago Vasquez Builes,
Alejandro Cardozo
Publication year - 2021
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/8706538
Subject(s) - medicine , hyperintensity , context (archaeology) , basal ganglia , intracerebral hemorrhage , decompensation , stroke (engine) , neuroimaging , basal (medicine) , neuroradiology , level of consciousness , radiology , anesthesia , neurology , insulin , magnetic resonance imaging , central nervous system , glasgow coma scale , mechanical engineering , paleontology , psychiatry , engineering , biology
Patients with acute neurological changes, especially with focal neurological deficit, require images for its initialapproach,generally skull tomography due to its availability.Here we report a case of an 80-year-old patient with alteredstate of consciousness and a seizure episode who was admitted on suspicion of cerebral hemorrhage. Her initial bloodglucose was high and a hyperdense lesion was found in the right basal ganglion on brain computed tomography,laboratories in which no other metabolic alteration was identified apart from the acute decompensation of Diabetes,however, with a neuroradiology and clinical team, the diagnosis of diabetic striatopathy was made. The patient wastreated with a fluid infusion, and serum glucose level was controlled with insulin. The patient gradually recoveredconsciousness and was alert to his baseline state within 24 hours,without neurological complications.Patients with risk factors and with findings suggesting stroke,the tomographic high densities,may suggest intracerebralhemorrhage;however,other metabolic and toxic pathologies may have similar tomographic changes.Our intention,is show to emergency physicians the presence of ganglio basal hyperintensities,mimics for gangliobasalhemorrhage should be studied according to history and clinical context and establish appropriate treatment in a timelymanner.