Namer IJ
Biophysics Department and Nuclear Medicine, University Hospital of Strasbourg, Hospital de Hautepierre, 1, avenue Moliere, 67098 Strasbourg Cedex 09,
France
Case Report
Additional Value of FDG PET and Resting State-functional MRI for the
Assessment of Consciousness Disorders in Hypoglycemia-induced Coma
Author(s): Bund C, Roquet D, Noblet V, Schenck-Dhif M, Schneider F, Kremer S and Namer IJBund C, Roquet D, Noblet V, Schenck-Dhif M, Schneider F, Kremer S and Namer IJ
Background: Consciousness disorders in brain-injured patients are sometimes complicated to understand. The accuracy of the distinction between coma, vegetative state, minimally conscious state and locked-in syndrome can be improved by using functional imaging modalities, which is important because of the therapeutic impact.
Case presentation: We report a case of a 34 years old diabetic Caucasian woman whose glycemia had been previously tightly controlled with an insulin pump and who developed a profound coma overnight (spontaneous ventilation and Glasgow score 6) with transient ocular revulsions and intermittent crawling movements triggered by noxious stimuli at admission. At the 3rd day, 18F-fluorodeoxyglucose (FDG) PET and resting-state functional MRI (rs-fMRI) were performed when the patient spontaneously opened her eyes, but no evidence of .. View More»
