Schenck-Dhif M
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»
