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Stroke, Vol 23, 112-113, Copyright © 1992 by American Heart Association

ARTICLES

Hypoglycemia presenting as basilar artery thrombosis

J Rother, A Schreiner, KU Wentz and M Hennerici
Department of Neurology, University of Heidelberg, Klinikum Mannheim, FRG.

BACKGROUND AND PURPOSE: Following our treatment of a patient with hypoglycemia-induced brain stem symptoms, we examined the possible mechanisms for hypoglycemia presenting as basilar artery disease. CASE DESCRIPTION: We describe a patient who had progressive brain stem symptoms due to a diet-induced hypoglycemia initially diagnosed as basilar artery thrombosis. Symptoms ceased immediately after intravenous glucose. CONCLUSIONS: Before invasive diagnostic and thrombolytic strategies are considered, hypoglycemia as a rare but important cause of acute brain stem dysfunction must be considered in patients suspected to suffer from basilar artery thrombosis.

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