Hypoxic and hypoglycemic brain damage as a  result of an adrenal cortex crisis-An important differential diagnosis in cases of unspecific symptoms

This article reports about a female patient with a known secondary adrenal cortex insufficiency who developed the complete picture of an adrenal crisis. Despite rapid diagnosis and initiation of treatment massive brain damage could not be averted due to hypoxia and hypoglycemia. This case report demonstrates the potential symptoms, in particular a massive hypoglycemia and an initial shock refractory to catecholamine. It also shows the severity of that disease and the importance of rapid treatment even though it is difficult to make the diagnosis.PMID:35226122 | DOI:10.1007/s00101-022-01088-w

Source: Der Anaesthesist - February 28, 2022 Category: Anesthesiology Authors: C Mayer C Hackenbroch S Mayer M Helm T M üller Source Type: research