Garcia-Grimshaw Miguel A, Jimenez-Ruiz Amado, Ornelas-Velazquez Alberto, Luna-Armenta Adrian, Gutierrez-Manjarrez Francisco A
Internal Medicine/Hospital General De Tijuana, Universidad Autonoma De Baja California, Tijuana, MEX.
Neurology, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Ciudad de Mexico, MEX.
Cureus. 2018 Jun 26;10(6):e2882. doi: 10.7759/cureus.2882.
Monoballism secondary to a mixed hyperglycemic crisis is a rare initial symptom of new-onset diabetes, which commonly affects the elderly and Asian women having inadequate glycemic control. In hyperglycemic states, the elevated serum glucose levels raise the viscosity of the blood reducing cerebral perfusion, decreasing gamma-aminobutyric acid levels, the latter being an inhibitory neurotransmitter of thalamocortical stimuli. In this case, we report a previously healthy 41-year-old male who attended the emergency department because of an abrupt onset movement disorder of the left arm, this being compatible with monoballism. He was diagnosed with a mixed hyperglycemic crisis.
继发于混合性高血糖危象的单肢舞动症是新发糖尿病罕见的初始症状，常见于血糖控制不佳的老年人和亚洲女性。在高血糖状态下，血清葡萄糖水平升高会增加血液粘度，减少脑灌注，降低γ-氨基丁酸水平，后者是丘脑皮质刺激的抑制性神经递质。在此病例中，我们报告了一名此前健康的41岁男性，他因左臂突发运动障碍前往急诊科就诊，该症状符合单肢舞动症。他被诊断为混合性高血糖危象。
