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Liječnički vjesnik, Vol. 142 No. Supp 5, 2020.

Meeting abstract

https://doi.org/10.26800/LV-142-supp5-13

Case report - glimepiride poisoning mimicking vertebrobasilar acute ischemic stroke

Michal Oleszko ; University of Rzeszow, Faculty of Medicine, Rzeszow, Poland
Kamila Kedra ; UniversiUniversity of Rzeszow, Faculty of Medicine, Rzeszow, Polandty of Rzeszow, Faculty of Medicine, Rzeszow, Poland
Izabela Michalik ; University of Rzeszow, Faculty of Medicine, Rzeszow, Poland
Marcin Wiacek ; University of Rzeszow, Faculty of Medicine, Rzeszow, Poland

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Abstract

Hypoglycemia is a dangerous adverse effect of some blood glucose-lowering agents like insulin and sulfonylureas. Sympathetic nervous symptoms and impaired consciousness are common in hypoglycemia, while paresis is rare and creates diagnostic difficulties. So far, only about 10 cases of paresis caused by sulfonylureas were described (including only one with persistent neurological deficits). We describe the case of the man with sulfonylurea induced hypoglycemia manifesting as acute encephalopathy with focal neurological signs misdiagnosed as posterior circulation acute ischemic stroke (AIS).

Keywords

Glimepiride, Hypoglycemia, Poisoning, Sulfonylurea

Hrčak ID:

251651

URI

https://hrcak.srce.hr/251651

Publication date:

27.1.2021.

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