Matches in SemOpenAlex for { <https://semopenalex.org/work/W2164523357> ?p ?o ?g. }
Showing items 1 to 79 of
79
with 100 items per page.
- W2164523357 abstract "A 60-year-old patient with an insignificant medical history came to our outpatient department with complaints of sudden-onset leg weakness, urinary incontinence, and difficulty in speaking for the past 2 days. He reported no history of trauma, loss of consciousness, headache, vomiting, convulsions, or preceding fever.On examination, he was conscious, with a blood pressure of 170/96 mmHg and a regular pulse of 84 bpm. Spinal palpation revealed no abnormality or tenderness. He had abulia, trans-cortical motor aphasia, and urinary incontinence. Frontal release reflexes—the snout reflex, forced grasping reflex, and glabellar tap—were enhanced. Cranial nerves were normal bilaterally. Sensory loss was present in both lower limbs. Motor examination revealed spastic paraparesis. Bilateral Babinski, Chaddock, and Hoffmann signs were positive.Routine investigations revealed normal hemogram, liver, and renal function test results. However, his fasting and postprandial plasma glucose values were found to be 246 and 350 mg/dl, respectively. To know whether this hyperglycemia represented previously undiagnosed type 2 diabetes or stress hyperglycemia, we ordered an A1C, with a result of 9.6%. The patient was thus identified as having type 2 diabetes.Examination of ocular fundi showed bilateral nonproliferative diabetic retinopathy, urine examination documented proteinuria of 1 g/day, and a nerve conductions velocity study revealed bilateral sensory motor neuropathy. His lipid profile revealed triglycerides of 224 mg/dl, total cholesterol of 160 mg/dl, HDL cholesterol of 29 mg/dl, VLDL cholesterol of 32 mg/dl, and LDL cholesterol of 116 mg/dl.In view of clinical findings suggestive of frontal lobe involvement, we ordered a magnetic resonance imaging (MRI) study of the brain. The MRI showed bilateral, ill-defined, wedge-shaped lesions in the anterior cerebral artery territories that were hyper-intense on T2W imaging (Figure 1). Diffusion-weighted imaging confirmed these lesions to be acute infarcts (Figure 2). Magnetic resonance angiography (MRA) revealed narrowing of the A1 segment of the …" @default.
- W2164523357 created "2016-06-24" @default.
- W2164523357 creator A5004462871 @default.
- W2164523357 creator A5027772661 @default.
- W2164523357 creator A5058963363 @default.
- W2164523357 date "2013-07-01" @default.
- W2164523357 modified "2023-09-24" @default.
- W2164523357 title "Paraparesis as a Presenting Manifestation of Type 2 Diabetes" @default.
- W2164523357 cites W1968888795 @default.
- W2164523357 cites W1975590448 @default.
- W2164523357 cites W1996290259 @default.
- W2164523357 cites W1997190119 @default.
- W2164523357 cites W2029582142 @default.
- W2164523357 cites W2043718962 @default.
- W2164523357 cites W2054330308 @default.
- W2164523357 cites W2132811847 @default.
- W2164523357 cites W2139402857 @default.
- W2164523357 cites W2144913975 @default.
- W2164523357 cites W2275139239 @default.
- W2164523357 cites W2337454357 @default.
- W2164523357 cites W2477872031 @default.
- W2164523357 cites W2510708214 @default.
- W2164523357 doi "https://doi.org/10.2337/diaclin.31.3.127" @default.
- W2164523357 hasPublicationYear "2013" @default.
- W2164523357 type Work @default.
- W2164523357 sameAs 2164523357 @default.
- W2164523357 citedByCount "0" @default.
- W2164523357 crossrefType "journal-article" @default.
- W2164523357 hasAuthorship W2164523357A5004462871 @default.
- W2164523357 hasAuthorship W2164523357A5027772661 @default.
- W2164523357 hasAuthorship W2164523357A5058963363 @default.
- W2164523357 hasBestOaLocation W21645233571 @default.
- W2164523357 hasConcept C126322002 @default.
- W2164523357 hasConcept C134018914 @default.
- W2164523357 hasConcept C141071460 @default.
- W2164523357 hasConcept C2777180221 @default.
- W2164523357 hasConcept C2780168130 @default.
- W2164523357 hasConcept C42219234 @default.
- W2164523357 hasConcept C527108885 @default.
- W2164523357 hasConcept C555293320 @default.
- W2164523357 hasConcept C71924100 @default.
- W2164523357 hasConcept C90924648 @default.
- W2164523357 hasConceptScore W2164523357C126322002 @default.
- W2164523357 hasConceptScore W2164523357C134018914 @default.
- W2164523357 hasConceptScore W2164523357C141071460 @default.
- W2164523357 hasConceptScore W2164523357C2777180221 @default.
- W2164523357 hasConceptScore W2164523357C2780168130 @default.
- W2164523357 hasConceptScore W2164523357C42219234 @default.
- W2164523357 hasConceptScore W2164523357C527108885 @default.
- W2164523357 hasConceptScore W2164523357C555293320 @default.
- W2164523357 hasConceptScore W2164523357C71924100 @default.
- W2164523357 hasConceptScore W2164523357C90924648 @default.
- W2164523357 hasLocation W21645233571 @default.
- W2164523357 hasOpenAccess W2164523357 @default.
- W2164523357 hasPrimaryLocation W21645233571 @default.
- W2164523357 hasRelatedWork W200931836 @default.
- W2164523357 hasRelatedWork W2015573246 @default.
- W2164523357 hasRelatedWork W2067883053 @default.
- W2164523357 hasRelatedWork W2069033665 @default.
- W2164523357 hasRelatedWork W2099189431 @default.
- W2164523357 hasRelatedWork W2108541314 @default.
- W2164523357 hasRelatedWork W2132823598 @default.
- W2164523357 hasRelatedWork W2255792443 @default.
- W2164523357 hasRelatedWork W2287698463 @default.
- W2164523357 hasRelatedWork W2336636821 @default.
- W2164523357 hasRelatedWork W2398864614 @default.
- W2164523357 hasRelatedWork W2407018161 @default.
- W2164523357 hasRelatedWork W2419221902 @default.
- W2164523357 hasRelatedWork W2472868156 @default.
- W2164523357 hasRelatedWork W2567965643 @default.
- W2164523357 hasRelatedWork W30119330 @default.
- W2164523357 hasRelatedWork W3120100547 @default.
- W2164523357 hasRelatedWork W3194750030 @default.
- W2164523357 hasRelatedWork W8712706 @default.
- W2164523357 hasRelatedWork W2186925659 @default.
- W2164523357 isParatext "false" @default.
- W2164523357 isRetracted "false" @default.
- W2164523357 magId "2164523357" @default.
- W2164523357 workType "article" @default.