[偏侧舞蹈症/偏侧投掷症——高血糖的一种罕见并发症]

[Hemichorea/hemiballism a rare complication of hyperglycemia].

作者信息

Tidehag Ludvig, Kataja Knight Agnes, Magnusson Peter, Sjöholm Åke

机构信息

Centrum for Forskning och Utveckling - Gavle, Sweden Centrum for Forskning och Utveckling - Gavle, Sweden.

Uppsala Universitet - Centrum för forskning och utveckling, Uppsala, Sweden, Region Gävleborg, Gävle Sweden Uppsala Universitet - Centrum för forskning och utveckling, Uppsala, Sweden Region Gävleborg, Gävle Sweden.

出版信息

Lakartidningen. 2019 Mar 26;116:FIEX.

PMID:31192395

Abstract

We present a case of hemichorea/hemiballism, a rare complication of hyperglycemia. Diagnosis is made clinically by signs of unilateral involuntary movements of the extremities combined with typical neuroradiological findings in the basal ganglia. Guidelines for treatment of the condition are lacking but in many cases correction for hyperglycemia is sufficient for full symptom relief. In other cases, symptomatic treatment with haloperidol and tetrabenazine can be used.

摘要

我们报告一例偏侧舞蹈症/偏侧投掷症，这是高血糖症的一种罕见并发症。临床诊断依据是肢体单侧不自主运动的体征以及基底节典型的神经放射学表现。目前缺乏该病症的治疗指南，但在许多情况下，纠正高血糖症足以使症状完全缓解。在其他情况下，可使用氟哌啶醇和丁苯那嗪进行对症治疗。