Eyes staring up

Introduction The hypoglycemia of epileptic seizures is characterized by shallow coma, moist skin, blemishes, sputum, gaze upwards, double pupils, light reflexes, stiff neck, thick lungs, and strong heart sounds. Hypoglycemia refers to a syndrome caused by a low blood glucose concentration caused by various causes. Generally, plasma blood glucose concentration <2.8mmol/L, or whole blood glucose <2.5mmol/L is hypoglycemia. The diagnostic criteria for hypoglycemia in children is 1.11 mmol/L lower than the adult value. Patients with acute hypoglycemia and short course of disease present with sympathetic stimulating disorders such as irritability, hunger, weakness, sweating, tachycardia, elevated systolic blood pressure, decreased diastolic blood pressure, tremors, transient black sputum, disturbance of consciousness, and even coma.

Cause

In the absence of severe blood sugar in the central nervous system, the high-level central function is reduced to reduce the energy requirements of the brain tissue. If the hypoglycemic patient with loss of consciousness is not treated immediately, it can lead to seizures and irreversible nerve damage.

an examination

Related inspection

Eye and sacral area CT examination of serum glucagon (PG) ophthalmic examination

This includes rapid blood glucose measurements in patients with unexplained conscious impairment (or epilepsy). If there is abnormal hypoglycemia, you should immediately push the glucose.

Inspection

Fasting blood glucose, blood insulin, C-peptide levels, calculation of insulin release index (fasting insulin/fasting blood glucose), hunger test if necessary (fasting hypoglycemia for 12-72 hours) and insulin release inhibition test (static) Drop R10.1U/(kg?h) and compare serum C-peptide levels before and after injection).

2. Abdominal B-ultrasound examination

Do it when necessary.

3. X-ray inspection

Patients with suspected insulinoma can be treated with abdominal CT, especially pancreatic CT, portal vein and splenic vein catheter for blood determination, selective pancreatic angiography.

Differential diagnosis

For episodes (especially in fasting), psycho-neural abnormalities, convulsions, behavioral abnormalities, disturbances of consciousness or coma, especially for diabetic patients treated with insulin or oral hypoglycemic agents, should consider the possibility of hypoglycemia, promptly check blood sugar. It is worth noting that some patients with hypoglycemia have normal blood glucose at the time of presentation, and there is no symptoms of hypoglycemia. They often only show the sequela of chronic hypoglycemia, such as hemiplegia, dementia, epilepsy, mental disorders, and children with significantly lower IQ.

Food poisoning occurs when you eat toxin-bearing sugar cane. Sugarcane poisoning occurs mostly in the spring. Clinical manifestations of sugar cane poisoning: nausea, vomiting, and diarrhea appear soon. Some stools are black, some have headaches, dizziness, and double vision. In severe cases, convulsions can occur, both eyes can gaze upwards at the same time, the pupils are scattered, the teeth are closed, and the light is quickly recovered. The mortality rate is high.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.