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非酮症高渗状态所致偏侧舞蹈症:一例报告及文献复习

Hemichorea caused by nonketotic hyperosmolar state: A case report and review of the literature.

作者信息

Raza Hafiz Khuram, Jing Jia, Cui Guiyun, Liang Xiaoqian, Hua Fang, Zhang Zunsheng, Tang Hai, Shi Hongjuan, Chen Hao

机构信息

a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.

b Department of Biology , Georgia State University , Atlanta , GA , USA.

出版信息

Somatosens Mot Res. 2017 Mar;34(1):44-46. doi: 10.1080/08990220.2016.1278205. Epub 2017 Jan 22.

Abstract

Our report involves a case of hemichorea caused by the nonketotic hyperosmolar state. We have analyzed the clinical data and relevant features of a patient who presented herself to the Affiliated Hospital of Xuzhou Medical University. The patient had unilateral involuntary movements for 1 month. We discovered that her blood glucose levels were very high. The patient underwent computed tomography (CT), magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA), indicating right basal ganglia lesion. Control of the patient's blood glucose plus supportive treatment resulted in a significant improvement of her clinical state.

摘要

我们的报告涉及一例由非酮症高渗状态引起的偏侧舞蹈症病例。我们分析了一名到徐州医科大学附属医院就诊患者的临床资料及相关特征。该患者出现单侧不自主运动1个月。我们发现她的血糖水平非常高。患者接受了计算机断层扫描(CT)、磁共振成像(MRI)和磁共振血管造影(MRA)检查,结果显示右侧基底神经节病变。控制患者血糖并给予支持治疗后,其临床状态有了显著改善。

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