AI Article Synopsis

  • Hyperosmolar hyperglycemic state (HHS) is a severe emergency linked to uncontrolled diabetes, increasing the risk of ischemia.
  • The relationship between hyperglycemic crises and stroke is under-researched, despite known risks in chronic hyperglycemia.
  • A case study of an 86-year-old male with HHS highlights challenges in recognizing strokes during these crises, stressing the need for clinical vigilance and further research on associated risks.

Article Abstract

Hyperosmolar hyperglycemic state (HHS) is the most serious emergency in patients with uncontrolled diabetes mellitus. It has been associated with a prothrombotic state that increases the risk for ischemia in affected patients. Despite the literature on the risk of ischemic stroke in patients with chronic hyperglycemia being vast, there is not enough documentation on the risk of developing a stroke during a hyperglycemic crisis. We present a rare case of an 86-year-old male who was admitted with HHS whose hospital course was further complicated by multiple embolic strokes. Prompt recognition of cerebral infarction when it intertwines with HHS remains a challenging task. This case emphasizes the value of clinical vigilance in patients with this hyperglycemic crisis. Further research is needed to better understand what this prothrombotic state truly entails in these patients.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11214331PMC
http://dx.doi.org/10.7759/cureus.63331DOI Listing

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