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A woman aged 68 years who experienced recurrent right hemiparesis caused by hypoglycemia was admitted to our hospital. When she was experiencing a low level of glucose, diffusion-weighted MR imaging showed the presence of hyperintensity lesions in the bilateral internal capsule. Diffusion-weighted MR imaging has been infrequently performed in patients with hypoglycemia. We report the reversible hyperintensity lesions on diffusion-weighted MR imaging in a hypoglycemic period in a patient with reversible hemiparesis. A reduction of apparent diffusion coefficient in a hypoglycemic period was clearly shown. |
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cerebrovascular accident,differential diagnosis of cerebrovascular accident,mimics cerebrovascular accident,misdiagnosis hemiparesis hemiparesis,recurrent hemiparesis,transient hypoglycemia internal capsule MRI MRI,abnormal MRI,ADC maps MRI,diffusion weighted MRI,disappearing lesion on transient neurologic deficit
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