Article Text

Download PDFPDF

Hyperintense lesion along the pyramidal tract on DWI in hypoglycaemic hemiplegia
  1. Kazuto Tsukita,
  2. Takashi Kageyama,
  3. Toshihiko Suenaga
  1. Department of Neurology, Tenri Hospital, Tenri, Nara, Japan
  1. Correspondence to Dr Kazuto Tsukita, kazusan{at}

Statistics from


An 85-year-old man with type 2 diabetes mellitus presented to our emergency department with sudden right limb weakness and dysarthria 90 min after onset. He was alert when examined and had a blood pressure of 163/89 mm Hg. Although right hemiplegia with facial weakness and dysarthria were noted, sensations to pinpricks were intact. MRI showed a hyperintense lesion in the posterior limb of the left internal capsule (IC), with decreased apparent diffusion coefficient values on diffusion-weighted imaging (DWI), suggesting acute ischaemic stroke (AIS) (figure 1). In the coronal …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.