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壳核点状出血作为非酮症高血糖性舞蹈症的病因:一例与MRI表现相关的神经病理学病例

Putaminal petechial haemorrhage as the cause of non-ketotic hyperglycaemic chorea: a neuropathological case correlated with MRI findings.

作者信息

Mestre Tiago, Ferreira Joaquim, Pimentel José

机构信息

Neurological Clinical Research Unit, Institute of Molecular Medicine, Av Prof Egas Moniz, Lisbon, 1649-028, Portugal.

出版信息

BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.08.2008.0785. Epub 2009 Feb 2.

Abstract

Acute generalised chorea can be attributed to multiple causes, including non-ketotic hyperglycaemia. This cause has been associated with characteristic image signs of striatal hyperdensity on CT scan and hyperintensity on T1 weighted (T1W) MRI. We report a patient presenting with this syndrome in which a postmortem study was conducted. The findings of striatum petechial hemorrhages gives a significant contribution towards explaining the nature of the imaging signs observed in the syndrome of acute chorea associated with non-ketotic hypergycaemia.

摘要

急性全身性舞蹈症可归因于多种原因,包括非酮症高血糖症。这种病因与CT扫描显示的纹状体高密度以及T1加权(T1W)磁共振成像显示的高信号等特征性影像表现有关。我们报告了一例患有该综合征的患者,并对其进行了尸检研究。纹状体瘀点出血的发现为解释与非酮症高血糖症相关的急性舞蹈症综合征中观察到的影像表现的本质提供了重要依据。

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