Hypoglycaemic coma can present with acute neurological dysfunction mimicking stroke. It may be masked by normoglycaemia due to physiological compensatory mechanisms (Somogyi phenomenon). Specific MR brain scan changes should alert the clinician to consider this alternative to stroke in the acute setting in patients with a history of recurrent hypoglycaemia, even when the blood glucose is not low at presentation. Rapid identification and treatment of hypoglycaemia may confer a good prognosis with radiological resolution.

中文翻译：

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怀疑无人目睹的低血糖


低血糖昏迷可表现为类似中风的急性神经功能障碍。由于生理代偿机制（Somogyi 现象），它可能被正常血糖所掩盖。特定的 MR 脑部扫描变化应提醒临床医生在有反复低血糖病史的患者的急性情况下考虑这种替代中风的方法，即使在就诊时血糖并不低。快速识别和治疗低血糖可能会带来良好的预后和放射学分辨率。