Agraphia with reversible splenial corpus callosum lesion caused by hypoglycemia

作者：Miyakawa Yukari; Fuchigami Tatsuo^*; Aoki Masako; Mine Yusuke; Suzuki Junichi; Urakami Tatsuhiko; Takahashi Shori

来源：Brain & Development, 2018, 40(7): 592-595.

DOI：10.1016/j.braindev.2018.03.003

• Hypoglycemia
• Agraphia
• Splenium of the corpus callosum
• Callosal disconnection syndrome
• Hypoglycemic encephalopathy
• Children

Background: Neurological manifestations caused by hypoglycemia range from reversible focal deficits and transient encephalopathy to irreversible coma or death. Recently, high signal intensity lesions in the splenium of the corpus callosum on diffusion-weighted magnetic resonance imaging were reported in adults experiencing hypoglycemia. However, patients presenting with agraphia are rare.
Subject and methods: We examined a 17-year-old left-handed female patient with type I diabetes who exhibited transient left agraphia with a reversible splenium lesion of the corpus callosum on diffusion-weighted imaging caused by hypoglycemia, which was improved with blood glucose management alone.
Conclusion: This rare case indicates that agraphia, a sign of callosal disconnection syndrome, can result from a reversible splenial lesion of the corpus callosum caused by hypoglycemia.

• 出版日期2018-8