Quick Answer: Does hyperglycemia or hypoglycemia mimic stroke?

Hyperglycemia is an important diagnostic differential and has been reported to cause focal neurological deficits masquerading as stroke. Discussion of hyperglycemia as a stroke mimic has been sparse in the era of diffusion weighted imaging, but remains an important mimic.

Can hypoglycemia cause stroke like symptoms?

[1] Its a common occurrence in diabetic patients receiving pharmacologic treatment. Transient hypoglycemia is well known to produce a stroke-like picture with hemiplegia and aphasia. [2,3,4] Hypoglycemia-induced hemiplegia usually resolves immediately with the administration of intravenous glucose.

What can hypoglycemia mimic?

More severe hypoglycemia reduces the glucose supply to the brain, causing dizziness, fatigue, weakness, headaches, inability to concentrate, confusion, inappropriate behavior that can be mistaken for drunkenness, slurred speech, blurred vision, seizures, and coma.

Can low blood pressure mimic a stroke?

A less common cause of ischemic stroke occurs when blood pressure becomes too low (hypotension), reducing blood flow to the brain. This usually occurs with narrowed or diseased arteries. Low blood pressure can result from a heart attack, large loss of blood or severe infection.

Can hyperglycemia mimic a stroke?

Hyperglycemia is an important diagnostic differential and has been reported to cause focal neurological deficits masquerading as stroke. Discussion of hyperglycemia as a stroke mimic has been sparse in the era of diffusion weighted imaging, but remains an important mimic.

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Does hyperglycemia cause stroke?

Hyperglycemia confers greater risk of stroke occurrence. This increased risk is often seen in individuals with diabetes and is associated with poorer clinical outcomes (including higher mortality), especially following ischemic stroke.

What is false hypoglycemia?

False hypoglycemia is having the symptoms of hypoglycemia when your blood glucose levels are in normal range or even above normal range. False hypoglycemia may occur in: • People with newly diagnosed diabetes whose blood glucose was significantly. above normal, and is now lower.

What happens to blood sugar during a stroke?

Blood glucose is often elevated in acute stroke, and higher admission glucose levels are associated with larger lesions, greater mortality and poorer functional outcome. In patients treated with thrombolysis, hyperglycemia is associated with an increased risk of hemorrhagic transformation of infarcts.

What could a differential diagnosis for the signs and symptoms of hypoglycemia be?

Differential Diagnoses

  • Addison Disease.
  • Adrenal Crisis.
  • Alcoholism.
  • Anxiety Disorders.
  • Cardiogenic Shock.
  • Hypopituitarism (Panhypopituitarism)
  • Insulinoma.
  • Pseudohypoglycemia.

What conditions may be mistaken for a stroke?

Conditions That Look Like a Stroke

  • Seizures.
  • Migraine.
  • Low or High Blood Sugar.
  • Bell’s Palsy.
  • Brain Tumors.
  • Multiple Sclerosis (MS)
  • Conversion Disorder.
  • Sepsis and Other Infections.

What is a false stroke?

A transient ischemic attack (TIA), often referred to as a “ministroke,” occurs when part of the brain experiences a temporary lack of blood flow. This causes stroke-like symptoms that usually resolve within 24 hours.

What is the number 1 cause of stroke?

High blood pressure is the leading cause of stroke and is the main cause for increased risk of stroke among people with diabetes. Talk to your doctor about ways to keep diabetes under control.

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Can DKA mimic a stroke?

Diabetic ketoacidosis itself has been reported to be a risk factor for the occurrence of stroke in children and youth. A cerebral hypoperfusion in untreated DKA may lead to cerebral injury, arterial ischemic stroke, cerebral venous thrombosis, and hemorrhagic stroke.