TRANSIENT FOCAL NEUROLOGICAL DEFICITS IN PATIENTS WITH HYPOGLYCEMIA AND HYPERGLYCEMIA - REPORT OF 4 CASES

A case of hypoglycaemia and three cases of hyperglycaemia presenting w ith focal neurological deficits are presented. The focal presentations were hemiparesis and focal convulsion that returned to normal upon co rrection of the blood sugar. Elderly patients not uncommonly present w ith transient focal neurologic deficits related to abnormalities in bl ood sugar levels. In these patients correction of blood sugar levels p er se may ameliorate symptoms and signs making it unnecessary to inves tigate for cerebrovascular disease. In diabetic patients on insulin or oral hypoglycaemic agents focal neurologic deficit should alert the c linician on the possibility of hypoglycaemia.