非酮症高血糖性舞蹈症的临床表现：一例报告及文献综述
Clinical manifestation of non-ketotic hyperglycemia chorea: A case report and literature review.
作者信息
Wang Weijing, Tang Xiaomei, Feng Hao, Sun Fenghui, Liu Lei, Rajah Gary B, Yu Fengchun
机构信息
Department of Neurology, Beijing Haidian Hospital, Beijing Haidian Section of Peking University Third Hospital, Beijing, P.R. China.
Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA.
出版信息
Medicine (Baltimore). 2020 May 29;99(22):e19801. doi: 10.1097/MD.0000000000019801.
INTRODUCTION
Chorea is considered a special complication of diabetes mellitus. Here we report a case of chorea associated with non-ketotic hyperglycemia (NKH).
PATIENT CONCERNS
The patient was a 79-year-old Asian woman. She had a history of type 2 diabetes mellitus more than 30 years, but with a poor control of blood sugar. She complained of acute onset of right limb involuntary activities, and being admitted to neurology department.
DIAGNOSIS
The patient was then diagnosed with NKH chorea.
INTERVENTIONS
Intravenous infusion of insulin was given to reduce blood glucose. Haloperidol was used to control motor symptoms.
OUTCOMES
Her symptoms improved quickly after treatment. In the past year, the patient's blood sugar was well controlled and her chorea did not recur.
LESSONS
If there are sudden abnormal movements in patients, in addition to thinking of chorea, hepatolenticular degeneration and other diseases, we should also pay attention to blood sugar, especially in diabetic patients with poor blood sugar control and negative ketone, we should consider the possibility of NKK chorea.
CONCLUSIONS
NKH chorea is a special complication of diabetes.
引言
舞蹈症被认为是糖尿病的一种特殊并发症。在此我们报告一例与非酮症高血糖（NKH）相关的舞蹈症病例。
患者情况
患者为一名79岁的亚洲女性。她有超过30年的2型糖尿病病史，但血糖控制不佳。她主诉右肢突发不自主活动，遂入住神经内科。
诊断
该患者随后被诊断为NKH舞蹈症。
干预措施
静脉输注胰岛素以降低血糖。使用氟哌啶醇控制运动症状。
结果
治疗后她的症状迅速改善。在过去一年中，患者血糖得到良好控制，舞蹈症未复发。
经验教训
如果患者出现突发异常运动，除了考虑舞蹈症、肝豆状核变性等疾病外，还应关注血糖，尤其是血糖控制不佳且酮体阴性的糖尿病患者，应考虑NKH舞蹈症的可能性。
结论
NKH舞蹈症是糖尿病的一种特殊并发症。
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