More Cases from family medical practice

Hypoglycaemia and stress.

Mrs Y had a very stressful life. Her husband was paranoid, accusing her of infidelity. She complained of a tic in her right cheek and eye and the right side of her neck. 

Suspecting hypoglycaemia, I gave her 10ml of 50% glucose solution intravenously. After the injection, the tic improved, along with nausea and numbness of her right second toe!

A fortnight later she reported that "the tic had gone away and she felt better - but they were on holidays as well - and it came back a day before they came home."

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