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非酮症高血糖性舞蹈症

Nonketotic hyperglycemic chorea.

作者信息

Abdelghany Mahmoud, Massoud Samuel

机构信息

Department of Medicine, Conemaugh Memorial Medical Center, 1086 Franklin Street, E3 Building, Johnstown, PA 15905, USA.

出版信息

Case Rep Neurol Med. 2014;2014:128037. doi: 10.1155/2014/128037. Epub 2014 Feb 23.

DOI:10.1155/2014/128037
PMID:24716012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3970396/
Abstract

This is a unique case of nonketotic hyperglycemic (NKH) chorea in a 34-year-old white male. The patient had a poorly controlled type 2 diabetes mellitus (DM) due to medication incompliance. He complained of polyuria, polydipsia, and weight loss of 20 pounds within a month before presentation. T2-weighted (T2W) MRI showed hyperintensity in the left basal ganglion. Glycated hemoglobin (HBA1c) was 13.6%. The patient was started on insulin and clonazepam and the chorea resolved after proper control of the glucose level. To our knowledge, this is the first reported case of NKH chorea in a young white male with high T2-weighted (T2W) magnetic resonance signal in the basal ganglia.

摘要

这是一例34岁白人男性的非酮症高血糖性（NKH）舞蹈症的独特病例。该患者因用药依从性差，患有控制不佳的2型糖尿病（DM）。他主诉多尿、多饮，且在就诊前一个月内体重减轻了20磅。T2加权（T2W）磁共振成像（MRI）显示左侧基底神经节高信号。糖化血红蛋白（HBA1c）为13.6%。患者开始使用胰岛素和氯硝西泮治疗，在血糖水平得到适当控制后，舞蹈症症状消失。据我们所知，这是首例报道的年轻白人男性基底神经节T2加权（T2W）磁共振信号增高的NKH舞蹈症病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/b8529fd6b569/CRINM2014-128037.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/bf9ac51f24d0/CRINM2014-128037.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/2fa2bf0554f2/CRINM2014-128037.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/653ce011a7d1/CRINM2014-128037.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/b5120754beb0/CRINM2014-128037.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/b8529fd6b569/CRINM2014-128037.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/bf9ac51f24d0/CRINM2014-128037.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/2fa2bf0554f2/CRINM2014-128037.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/653ce011a7d1/CRINM2014-128037.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/b5120754beb0/CRINM2014-128037.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be82/3970396/b8529fd6b569/CRINM2014-128037.005.jpg

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CT and MRI findings in the basal ganglia in non-ketotic hyperglycaemia associated hemichorea and hemi-ballismus (HC-HB).非酮症高血糖相关性偏侧舞蹈症和偏侧投掷症（HC-HB）患者基底节区的CT和MRI表现
Neuroradiology. 2012 Oct;54(10):1119-20. doi: 10.1007/s00234-012-1021-0. Epub 2012 Mar 2.
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Movements Here Today, Gone Tomorrow: Images in Clinical Neurology Case of Hyperglycemic Hemichorea.今日现于此，明日逝无踪：高血糖性偏侧舞蹈症临床神经病例影像
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