Work

Rare brain computed tomography image findings of hyperosmolar hyperglycemic state due to acute ischemic stroke-induced stressed hyperglycemia: A case report

Year: 2025

Type: article

Abstract: Hyperosmolar hyperglycemic state (HHS) is a severe complication of diabetes mellitus (DM), often triggered by acute illnesses such as stroke. A 68-year-old female with hypertension and type 2 DM presented with recurrent seizures and right-sided weakness. Severe hyperglycemia (839 mg/dL), renal impairment, and electrolyte imbalances confirmed HHS. Brain computed tomography imaging showed hyperdense lesions in the lentiform nucleus and caudate nuclei, suggesting metabolic and ischemic contributions. Intensive fluid resuscitation and insulin therapy led to clinical improvement. Stroke-induced stress hyperglycemia exacerbated metabolic dysfunction, progressing to HHS. This case highlights the importance of early recognition and aggressive management of hyperglycemia in acute stroke to prevent life-threatening complications.

Source: Journal of Neurosciences in Rural Practice

DOI: 10.25259/jnrp_194_2025

Authors: Farah Az Zahra, Devi Ariani Sudibyo

Institution: Universitas Airlangga

Language: English

Topic: Hyperglycemia and glycemic control in critically ill and hospitalized patients

Subfield: Endocrinology, Diabetes and Metabolism

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $125