Department of Neurosurgery, University of Michigan Medical School, Ann Arbor, MI 48109-5338, USA.
J Clin Neurosci. 2011 Nov;18(11):1560-1. doi: 10.1016/j.jocn.2011.03.010. Epub 2011 Aug 25.
Radiographic findings of hyperglycemic non-ketotic chorea-hemiballismus and basal ganglia hemorrhage can be highly similar. A 58-year-old female presented with a 1-week history of choreiform and ballistic movements of the left arm. Based on CT imaging, the patient was diagnosed with a basal ganglia hemorrhage. After transfer to our institution, further imaging and work-up led to a diagnosis of non-ketotic hyperglycemic chorea-hemiballismus. Aggressive glycemic control was started and the patient's symptoms resolved. Despite its rarity, non-ketotic hyperglycemic chorea-hemiballismus should be included in the differential diagnosis of basal ganglia hyperdensity on CT scan, as it can mimic basal ganglia hemorrhage. Resolution of this clinical entity and implementation of aggressive glycemic control can lead to complete resolution of symptoms. It is important for neurosurgeons to be aware of this clinical entity as prompt treatment often yields good outcomes.
高血糖非酮症舞蹈-手足徐动症和基底节出血的影像学表现高度相似。一位 58 岁女性因左手臂舞蹈-投掷样运动 1 周就诊。根据 CT 成像，患者被诊断为基底节出血。转到我们医院后，进一步的影像学和检查导致诊断为非酮症高血糖舞蹈-手足徐动症。开始积极控制血糖，患者的症状得到缓解。尽管这种疾病很少见，但非酮症高血糖舞蹈-手足徐动症应纳入 CT 扫描基底节高密度的鉴别诊断，因为它可能模仿基底节出血。这种临床病症的缓解和积极的血糖控制可以导致症状完全缓解。神经外科医生了解这种临床病症很重要，因为及时治疗通常会产生良好的效果。
