Background: The development of hemiplegia as a result of hypoglycaemia was first described in 1928. However, the mechanism remains unclear.
Case report: We report a case of a 58-year-old male with diabetes, who developed left hemiplegia during a severe hypoglycaemic event. Results Diffusion-weighted magnetic resonance imaging detected an increased signal intensity in the pons, indicating that the patient's hemiplegia resulted from acute brain injury.
Conclusions: This report provides evidence that acute brain injury may be a cause of the neurological deficit.