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Paroxysmal Dyskinesia Associated with Hypoglycemia

Published online by Cambridge University Press:  18 September 2015

Brian J. Schmidt  and
Neelan Pillay
Brian J. Schmidt*
Affiliation:
Section of Neurology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, Winnipeg
Neelan Pillay
Affiliation:
Section of Neurology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba, Winnipeg
*
Section of Neurology, Health Sciences Centre, 820 Sherbrook Street, Winnipeg Manitoba, Canada R3A 1R9
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Abstract:

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The association of movement disorders with hypoglycemia has been rarely noted in the past. We recently observed 2 patients with documented hypoglycemia and paroxysmal dyskinesias. One patient had evidence of an insulin-secreting tumor. The other patient had insulin-dependent diabetes, and also experienced recurrent episodes of hypoglycemic hemiparesis. Classical adrenergic symptoms of hypoglycemia were absent in both patients. Our observations support the concept that the development of neuroglycopenic symptoms cannot be predicted from blood glucose measurements alone, but must depend on other factors controlling the availability or metabolism of glucose in the brain.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 20 , Issue 2 , May 1993 , pp. 151 - 153
Copyright
Copyright © Canadian Neurological Sciences Federation 1993

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