neuroglycopenia

Introduction

hypoglycemia in brain

Pathology

• alters brain function & behavior
• alters function of neurons

Clinical manifestations

• impaired judgment
• dysphoria, anxiety, moodiness, depression
• fear of dying, suicidal thoughts
• irritability, belligerence, combativeness, rage
• personality change, emotional lability
• fatigue, weakness, apathy, lethargy
• confusion, amnesia, dizziness, delirium
• blurred vision, double vision
• difficulty speaking, slurred speech
• ataxia, focal or general motor deficit, paralysis, hemiparesis
• paresthesia, headache
• stupor, coma, abnormal breathing
• generalized or focal seizures
• loss of consciousness
• eventual death is not corrected

Laboratory

• glucose in serum/plasma < 20 mg/dL
• glucose in CSF if hypoglycorrhachia suspected

Management

• glucose
• glucagon

More general terms

• hypoglycemia

More specific terms

• hypoglycorrhachia