Zétola Viviane Flumignan, Verschoor Bruno, Lima Fernando M, Ottmann Francisco E, Doubrawa Eloisa, Paiva Eduardo, Carvalho Maurício de, Teive Hélio A G
Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil.
Arq Bras Endocrinol Metabol. 2010 Mar;54(3):335-8. doi: 10.1590/s0004-27302010000300014.
Diabetes mellitus, especially when not under control, can lead to several neurological complications being the development of involuntary movements one of the rarest presentations. Nonketotic hyperglycemia in aged patients who present with ballismus-chorea movements and cerebral image alterations in computerized tomography (CT) and magnetic resonance constitute a syndrome of recent characterization and few cases in literature. We present a case of a 75 year-old male patient admitted with history of hemiballismus-hemichorea movements, hyperglycemia, glycated hemoglobin of 14.4% and CT with a hyperdense area in the topography of the right basal ganglia. After glycemic control, the neurological signs resolved completely and the initial hyperdense lesion disappeared.
糖尿病，尤其是在未得到控制时，可导致多种神经并发症，非自愿运动的发生是最罕见的表现之一。老年患者出现偏身投掷-舞蹈症样运动且计算机断层扫描（CT）和磁共振成像显示脑部图像改变的非酮症高血糖构成了一种近期才被认识的综合征，文献报道的病例较少。我们报告一例75岁男性患者，因偏身投掷-舞蹈症样运动病史、高血糖、糖化血红蛋白14.4%入院，CT显示右侧基底节区有高密度区。血糖控制后，神经症状完全消失，最初的高密度病变也消失了。
