迟发性糖尿病性纹状体病：高血糖发作后1个月出现偏身舞蹈症-偏身投掷症。
Delayed onset diabetic striatopathy: Hemichorea-hemiballism one month after a hyperglycemic episode.
作者信息
Lin Chiu-Jung, Huang Poyin
机构信息
Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Ph.D. Program in Translational Medicine, Kaohsiung Medical University and Academia Sinica, Taiwan; Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
出版信息
Am J Emerg Med. 2017 Jul;35(7):1036.e3-1036.e4. doi: 10.1016/j.ajem.2017.02.018. Epub 2017 Feb 5.
Diabetic striatopathy is an uncommon and life threatening manifestation of diabetes mellitus. It has a tendency to occur in the elderly, female and people of Asian descent. Patients usually present with hemichorea-hemiballism caused by non-ketotic hyperglycemia. However, patients could develop diabetic striatopathy weeks after the hyperglycemic event, even when blood sugar has been well controlled. Herein, we report a case of delayed onset diabetic striatopathy and discuss the importance of detailed history and brain magnetic resonance imaging for making prompt and accurate diagnosis.
糖尿病性纹状体病是糖尿病一种罕见且危及生命的表现形式。它倾向于发生在老年人、女性及亚洲血统人群中。患者通常表现为非酮症高血糖所致的偏侧舞蹈症-偏侧投掷症。然而，即使血糖已得到良好控制，患者也可能在高血糖事件数周后发生糖尿病性纹状体病。在此，我们报告一例迟发性糖尿病性纹状体病病例，并讨论详细病史和脑部磁共振成像对于及时准确诊断的重要性。
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