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Hypertriglyceridemia as a possible cause of coma: a case report.

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Title: Hypertriglyceridemia as a possible cause of coma: a case report.
Authors: Ryota Inokuchi, Akinori Matsumoto, Ryuta Azihara, Hajime Sato, Yoshibumi Kumada, Hideyuki Yokoyama, Megumi Okada, Tokiya Ishida, Kensuke Nakamura, Susumu Nakajima, Naoki Yahagi, Kazuaki Shinohara, Inokuchi, Ryota, Matsumoto, Akinori, Azihara, Ryuta, Sato, Hajime, Kumada, Yoshibumi, Yokoyama, Hideyuki, Okada, Megumi, Ishida, Tokiya
Source: Journal of Medical Case Reports; 2012, Vol. 6 Issue 1, p412-414, 3p, 1 Color Photograph, 1 Graph
Abstract: Unlabelled: Introduction: Many studies suggest that elevated triglyceride levels are associated with increased long-term risk of stroke, including transient ischemic attacks. In addition, elevated triglyceride levels independently contribute to plasma viscosity and decreased blood flow. However, no consensus has been reached regarding the significance of hypertriglyceridemia as an independent risk factor for ischemic stroke.Case Presentation: We report the case of a patient admitted to our hospital for sudden onset of coma. Laboratory test results revealed he had high blood glucose (28.2mmol/L), high glycated hemoglobin (11.4 percent), considerably high serum triglyceride levels (171.5mmol/L; type V hyperlipoproteinemia), and high plasma viscosity (1.90mPa/s) with normal β-hydroxybutyric acid levels. His triglyceride levels decreased after administering intravenous fluids. Our patient's consciousness level improved gradually over three days. All serum lipid levels decreased seven days after admission.Conclusions: The findings in our patient's case are likely explained by triglyceride-mediated hyperviscosity causing a transient ischemic attack. In the present report we suggest that when several tests do not reveal the cause of stroke-like symptoms, measurement of plasma viscosity may be informative. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Medical Case Reports is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Hypertriglyceridemia as a possible cause of coma: a case report.
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  Data: <searchLink fieldCode="AR" term="%22Ryota+Inokuchi%22">Ryota Inokuchi</searchLink><br /><searchLink fieldCode="AR" term="%22Akinori+Matsumoto%22">Akinori Matsumoto</searchLink><br /><searchLink fieldCode="AR" term="%22Ryuta+Azihara%22">Ryuta Azihara</searchLink><br /><searchLink fieldCode="AR" term="%22Hajime+Sato%22">Hajime Sato</searchLink><br /><searchLink fieldCode="AR" term="%22Yoshibumi+Kumada%22">Yoshibumi Kumada</searchLink><br /><searchLink fieldCode="AR" term="%22Hideyuki+Yokoyama%22">Hideyuki Yokoyama</searchLink><br /><searchLink fieldCode="AR" term="%22Megumi+Okada%22">Megumi Okada</searchLink><br /><searchLink fieldCode="AR" term="%22Tokiya+Ishida%22">Tokiya Ishida</searchLink><br /><searchLink fieldCode="AR" term="%22Kensuke+Nakamura%22">Kensuke Nakamura</searchLink><br /><searchLink fieldCode="AR" term="%22Susumu+Nakajima%22">Susumu Nakajima</searchLink><br /><searchLink fieldCode="AR" term="%22Naoki+Yahagi%22">Naoki Yahagi</searchLink><br /><searchLink fieldCode="AR" term="%22Kazuaki+Shinohara%22">Kazuaki Shinohara</searchLink><br /><searchLink fieldCode="AR" term="%22Inokuchi%2C+Ryota%22">Inokuchi, Ryota</searchLink><br /><searchLink fieldCode="AR" term="%22Matsumoto%2C+Akinori%22">Matsumoto, Akinori</searchLink><br /><searchLink fieldCode="AR" term="%22Azihara%2C+Ryuta%22">Azihara, Ryuta</searchLink><br /><searchLink fieldCode="AR" term="%22Sato%2C+Hajime%22">Sato, Hajime</searchLink><br /><searchLink fieldCode="AR" term="%22Kumada%2C+Yoshibumi%22">Kumada, Yoshibumi</searchLink><br /><searchLink fieldCode="AR" term="%22Yokoyama%2C+Hideyuki%22">Yokoyama, Hideyuki</searchLink><br /><searchLink fieldCode="AR" term="%22Okada%2C+Megumi%22">Okada, Megumi</searchLink><br /><searchLink fieldCode="AR" term="%22Ishida%2C+Tokiya%22">Ishida, Tokiya</searchLink>
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  Data: Journal of Medical Case Reports; 2012, Vol. 6 Issue 1, p412-414, 3p, 1 Color Photograph, 1 Graph
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Unlabelled: </bold><bold>Introduction: </bold>Many studies suggest that elevated triglyceride levels are associated with increased long-term risk of stroke, including transient ischemic attacks. In addition, elevated triglyceride levels independently contribute to plasma viscosity and decreased blood flow. However, no consensus has been reached regarding the significance of hypertriglyceridemia as an independent risk factor for ischemic stroke.<bold>Case Presentation: </bold>We report the case of a patient admitted to our hospital for sudden onset of coma. Laboratory test results revealed he had high blood glucose (28.2mmol/L), high glycated hemoglobin (11.4 percent), considerably high serum triglyceride levels (171.5mmol/L; type V hyperlipoproteinemia), and high plasma viscosity (1.90mPa/s) with normal β-hydroxybutyric acid levels. His triglyceride levels decreased after administering intravenous fluids. Our patient's consciousness level improved gradually over three days. All serum lipid levels decreased seven days after admission.<bold>Conclusions: </bold>The findings in our patient's case are likely explained by triglyceride-mediated hyperviscosity causing a transient ischemic attack. In the present report we suggest that when several tests do not reveal the cause of stroke-like symptoms, measurement of plasma viscosity may be informative. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Medical Case Reports is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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