Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico

Neurological manifestations such as seizures, disorders of consciousness and abnormal movements such as hemichorea and hemiballismus can be the presenting symptoms of hyperglycemic hyperosmolar states. Exceptionally, focal signs as hemiparesis or aphasia are described. We report a 66-year-old man, p...

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Autores principales:	LEGUA KOC,SERGIO, MARTÍNEZ GODOY,ALEJANDRO, ALVARADO PASTENES,MANUEL, SÁEZ MÉNDEZ,DAVID
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2020
Materias:	Aphasia Hyperglycemic Hyperosmolar Nonketotic Coma Stroke
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000400553
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spelling	oai:scielo:S0034-988720200004005532020-07-07Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínicoLEGUA KOC,SERGIOMARTÍNEZ GODOY,ALEJANDROALVARADO PASTENES,MANUELSÁEZ MÉNDEZ,DAVID Aphasia Hyperglycemic Hyperosmolar Nonketotic Coma Stroke Neurological manifestations such as seizures, disorders of consciousness and abnormal movements such as hemichorea and hemiballismus can be the presenting symptoms of hyperglycemic hyperosmolar states. Exceptionally, focal signs as hemiparesis or aphasia are described. We report a 66-year-old man, presenting with nonfluent aphasia and right subtle hemiparesis. The computed tomography, computed tomography angiography and brain magnetic resonance did not show acute ischemic lesions or obstruction of arterial vessels. The initial laboratory evaluation disclosed a blood glucose of 936 mg/dL, a plasma osmolality of 331 mOsm/Kg, and positive plasma ketones. After the treatment of hyperglycemia and hyperosmolality, focal symptoms subsided.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.148 n.4 20202020-04-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000400553es10.4067/s0034-98872020000400553
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Aphasia Hyperglycemic Hyperosmolar Nonketotic Coma Stroke
spellingShingle	Aphasia Hyperglycemic Hyperosmolar Nonketotic Coma Stroke LEGUA KOC,SERGIO MARTÍNEZ GODOY,ALEJANDRO ALVARADO PASTENES,MANUEL SÁEZ MÉNDEZ,DAVID Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
description	Neurological manifestations such as seizures, disorders of consciousness and abnormal movements such as hemichorea and hemiballismus can be the presenting symptoms of hyperglycemic hyperosmolar states. Exceptionally, focal signs as hemiparesis or aphasia are described. We report a 66-year-old man, presenting with nonfluent aphasia and right subtle hemiparesis. The computed tomography, computed tomography angiography and brain magnetic resonance did not show acute ischemic lesions or obstruction of arterial vessels. The initial laboratory evaluation disclosed a blood glucose of 936 mg/dL, a plasma osmolality of 331 mOsm/Kg, and positive plasma ketones. After the treatment of hyperglycemia and hyperosmolality, focal symptoms subsided.
author	LEGUA KOC,SERGIO MARTÍNEZ GODOY,ALEJANDRO ALVARADO PASTENES,MANUEL SÁEZ MÉNDEZ,DAVID
author_facet	LEGUA KOC,SERGIO MARTÍNEZ GODOY,ALEJANDRO ALVARADO PASTENES,MANUEL SÁEZ MÉNDEZ,DAVID
author_sort	LEGUA KOC,SERGIO
title	Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
title_short	Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
title_full	Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
title_fullStr	Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
title_full_unstemmed	Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico
title_sort	afasia como debut de estado hiperosmolar hiperglicémico. caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2020
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872020000400553
work_keys_str_mv	AT leguakocsergio afasiacomodebutdeestadohiperosmolarhiperglicemicocasoclinico AT martinezgodoyalejandro afasiacomodebutdeestadohiperosmolarhiperglicemicocasoclinico AT alvaradopastenesmanuel afasiacomodebutdeestadohiperosmolarhiperglicemicocasoclinico AT saezmendezdavid afasiacomodebutdeestadohiperosmolarhiperglicemicocasoclinico
_version_	1718437122988310528

Afasia como debut de estado hiperosmolar hiperglicémico. Caso clínico

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