Abstract 107: Hypoglycemia‐induced Stroke Mimic And Regional Computed Tomography Perfusion Deficit With Correlating Symptoms

Hypoglycemia is a known cause of focal neurologic deficits which corrects with normalization of serum glucose. Computed tomography (CT) and CT angiography of the head typically do not show signs of ischemic injury or steno‐occlusive disease in severe hypoglycemia. Magnetic resonance imaging (MRI) may show changes mimicking anoxic injury, or subcortical diffusion restriction, but these patterns are typically bilateral. This case suggests that hypoglycemia may lead to local hypoperfusion and subsequent focal neurologic deficits. The mechanism behind this is unclear but likely involves autoregulatory processes.