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Forgetting to remember: hypoglycaemic encephalopathy
  1. Tomas D Martin1,
  2. Carlo Canepa2
  1. 1James Paget University Hospitals NHS Foundation Trust, Great Yarmouth, Norfolk, UK
  2. 2Stroke and Neurology, James Paget University Hospital, Norwich, UK
  1. Correspondence to Dr Carlo Canepa, Neurocanepa{at}


A 37-year-old woman with a history of poorly controlled type 1 diabetes presented acutely with a decreased Glasgow Coma Scale and a diagnosis of hypoglycaemic brain injury. Her MRI highlighted bilateral hippocampi diffusion restriction and T2 hyperintensity. Clinically, she had a marked cognitive deficit, particularly of short-term, anterograde amnesia. She was managed conservatively and with intensive rehabilitation.

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  • Contributors CC (neurologist and stroke consultant) and TDM (CMT1) dealt with the case. They admitted her from the AE/EADU and continued her care on their ward. They discussed her case on a daily basis and arranged for investigations together. They also had a daily ward round evaluating her progression. All the information regarding her medical care was obtained by them, with her permission, from their daily assessments and from her health records from their system and from her general practitioner. The discussion of the paper was carried out by CC and the clinical presentation by TDM.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.