Hypertriglyceridemia as a possible cause of coma: a case report

<p<Abstract</p< <p<Introduction</p< <p<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 visco...
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Autor*in:	Inokuchi Ryota [verfasserIn] Matsumoto Akinori [verfasserIn] Azihara Ryuta [verfasserIn] Sato Hajime [verfasserIn] Kumada Yoshibumi [verfasserIn] Yokoyama Hideyuki [verfasserIn] Okada Megumi [verfasserIn] Ishida Tokiya [verfasserIn] Nakamura Kensuke [verfasserIn] Nakajima Susumu [verfasserIn] Yahagi Naoki [verfasserIn] Shinohara Kazuaki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2012

Schlagwörter:	Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack

Übergeordnetes Werk:	In: Journal of Medical Case Reports - BMC, 2010, 6(2012), 1, p 412
Übergeordnetes Werk:	volume:6 ; year:2012 ; number:1, p 412

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1752-1947-6-412

Katalog-ID:	DOAJ039517438

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520			\|a <p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p<
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spelling	10.1186/1752-1947-6-412 doi (DE-627)DOAJ039517438 (DE-599)DOAJ4f129d10052e49599088d8f1d866800d DE-627 ger DE-627 rakwb eng Inokuchi Ryota verfasserin aut Hypertriglyceridemia as a possible cause of coma: a case report 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p< Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack Medicine R Matsumoto Akinori verfasserin aut Azihara Ryuta verfasserin aut Sato Hajime verfasserin aut Kumada Yoshibumi verfasserin aut Yokoyama Hideyuki verfasserin aut Okada Megumi verfasserin aut Ishida Tokiya verfasserin aut Nakamura Kensuke verfasserin aut Nakajima Susumu verfasserin aut Yahagi Naoki verfasserin aut Shinohara Kazuaki verfasserin aut In Journal of Medical Case Reports BMC, 2010 6(2012), 1, p 412 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:6 year:2012 number:1, p 412 https://doi.org/10.1186/1752-1947-6-412 kostenfrei https://doaj.org/article/4f129d10052e49599088d8f1d866800d kostenfrei http://www.jmedicalcasereports.com/content/6/1/412 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 1, p 412
allfields_unstemmed	10.1186/1752-1947-6-412 doi (DE-627)DOAJ039517438 (DE-599)DOAJ4f129d10052e49599088d8f1d866800d DE-627 ger DE-627 rakwb eng Inokuchi Ryota verfasserin aut Hypertriglyceridemia as a possible cause of coma: a case report 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p< Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack Medicine R Matsumoto Akinori verfasserin aut Azihara Ryuta verfasserin aut Sato Hajime verfasserin aut Kumada Yoshibumi verfasserin aut Yokoyama Hideyuki verfasserin aut Okada Megumi verfasserin aut Ishida Tokiya verfasserin aut Nakamura Kensuke verfasserin aut Nakajima Susumu verfasserin aut Yahagi Naoki verfasserin aut Shinohara Kazuaki verfasserin aut In Journal of Medical Case Reports BMC, 2010 6(2012), 1, p 412 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:6 year:2012 number:1, p 412 https://doi.org/10.1186/1752-1947-6-412 kostenfrei https://doaj.org/article/4f129d10052e49599088d8f1d866800d kostenfrei http://www.jmedicalcasereports.com/content/6/1/412 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 1, p 412
allfieldsGer	10.1186/1752-1947-6-412 doi (DE-627)DOAJ039517438 (DE-599)DOAJ4f129d10052e49599088d8f1d866800d DE-627 ger DE-627 rakwb eng Inokuchi Ryota verfasserin aut Hypertriglyceridemia as a possible cause of coma: a case report 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p< Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack Medicine R Matsumoto Akinori verfasserin aut Azihara Ryuta verfasserin aut Sato Hajime verfasserin aut Kumada Yoshibumi verfasserin aut Yokoyama Hideyuki verfasserin aut Okada Megumi verfasserin aut Ishida Tokiya verfasserin aut Nakamura Kensuke verfasserin aut Nakajima Susumu verfasserin aut Yahagi Naoki verfasserin aut Shinohara Kazuaki verfasserin aut In Journal of Medical Case Reports BMC, 2010 6(2012), 1, p 412 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:6 year:2012 number:1, p 412 https://doi.org/10.1186/1752-1947-6-412 kostenfrei https://doaj.org/article/4f129d10052e49599088d8f1d866800d kostenfrei http://www.jmedicalcasereports.com/content/6/1/412 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 1, p 412
allfieldsSound	10.1186/1752-1947-6-412 doi (DE-627)DOAJ039517438 (DE-599)DOAJ4f129d10052e49599088d8f1d866800d DE-627 ger DE-627 rakwb eng Inokuchi Ryota verfasserin aut Hypertriglyceridemia as a possible cause of coma: a case report 2012 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p< Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack Medicine R Matsumoto Akinori verfasserin aut Azihara Ryuta verfasserin aut Sato Hajime verfasserin aut Kumada Yoshibumi verfasserin aut Yokoyama Hideyuki verfasserin aut Okada Megumi verfasserin aut Ishida Tokiya verfasserin aut Nakamura Kensuke verfasserin aut Nakajima Susumu verfasserin aut Yahagi Naoki verfasserin aut Shinohara Kazuaki verfasserin aut In Journal of Medical Case Reports BMC, 2010 6(2012), 1, p 412 (DE-627)524231389 (DE-600)2269805-X 17521947 nnns volume:6 year:2012 number:1, p 412 https://doi.org/10.1186/1752-1947-6-412 kostenfrei https://doaj.org/article/4f129d10052e49599088d8f1d866800d kostenfrei http://www.jmedicalcasereports.com/content/6/1/412 kostenfrei https://doaj.org/toc/1752-1947 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_2522 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2012 1, p 412
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spellingShingle	Inokuchi Ryota misc Hypertriglyceridemia misc Plasma viscosity misc Alcohol misc Diabetes mellitus misc Transient ischemic attack misc Medicine misc R Hypertriglyceridemia as a possible cause of coma: a case report
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topic_title	Hypertriglyceridemia as a possible cause of coma: a case report Hypertriglyceridemia Plasma viscosity Alcohol Diabetes mellitus Transient ischemic attack
topic	misc Hypertriglyceridemia misc Plasma viscosity misc Alcohol misc Diabetes mellitus misc Transient ischemic attack misc Medicine misc R
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title	Hypertriglyceridemia as a possible cause of coma: a case report
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author_browse	Inokuchi Ryota Matsumoto Akinori Azihara Ryuta Sato Hajime Kumada Yoshibumi Yokoyama Hideyuki Okada Megumi Ishida Tokiya Nakamura Kensuke Nakajima Susumu Yahagi Naoki Shinohara Kazuaki
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title_sort	hypertriglyceridemia as a possible cause of coma: a case report
title_auth	Hypertriglyceridemia as a possible cause of coma: a case report
abstract	<p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p<
abstractGer	<p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p<
abstract_unstemmed	<p<Abstract</p< <p<Introduction</p< <p<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.</p< <p<Case presentation</p< <p<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.</p< <p<Conclusions</p< <p<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.</p<
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up_date	2024-07-03T23:41:59.514Z
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All serum lipid levels decreased seven days after admission.</p< <p<Conclusions</p< <p<The findings in our patient’s case are likely explained by triglyceride-mediated hyperviscosity causing a transient ischemic attack. 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Hypertriglyceridemia as a possible cause of coma: a case report

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