Identifier |
20210220_nanos_posters_033 |
Title |
Neuro-ophthalmic Manifestations of Hyperglycemic Encephalopathy |
Creator |
Yi-Hsien Yeh; Leanne Stunkel; Gregory Van Stavern |
Affiliation |
(YY) (LS) (GV) Washington University in St Louis, St. Louis, Missouri |
Subject |
Neuro-ophthalmology & Systemic Disease (eg. MS, MG, Thyroid); Neuroimaging; Visual Fields |
Description |
Poorly controlled diabetes mellitus is associated with multiple ocular manifestations including diabetic retinopathy and diabetic papillopathy. A potentially life-threatening consequence of uncontrolled diabetes is hyperosmolar hyperglycemic state (HHS) which is typically found in patients with blood glucose >600 mg/dL and a serum osmolality >320 mOsm/kg without significant ketone production or acidemia. HHS often presents as encephalopathy, obtundation, or more focal neurologic deficits such as hemiparesis or hemianopsia. However, focal deficits can manifest in hyperglycemic patients with substantially lower serum osmolality. We discuss four patients with serum osmolality >300 but <320 presenting with ophthalmologic symptoms. |
Date |
2021-02 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
2021 North American Neuro-Ophthalmology Society Annual Meeting |
Relation is Part of |
NANOS Annual Meeting 2021: Poster Session I: Neuro-Ophthalmic Disorders of Neurologic and Systemic Diseases |
Collection |
Neuro-Ophthalmology Virtual Education Library: NANOS Annual Meeting Collection: https://novel.utah.edu/collection/nanos-annual-meeting-collection/ |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2021. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s67x2787 |
Context URL |
The NANOS Annual Meeting Neuro-Ophthalmology Collection: https://novel.utah.edu/collection/NAM/toc/ |
Setname |
ehsl_novel_nam |
ID |
1671520 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s67x2787 |