一名年轻患者的高血糖性偏侧舞蹈症罕见病例。
A Rare Case of Hyperglycemic-Hemichorea in a Young Patient.
作者信息
Fatima Meraj, Iqbal Mohsin, Abbas Saira, Kumar Deepak, Jitidhar Fnu
机构信息
Neurology, Dow International Medical College, Dow University Hospital, Dow University of Health Sciences, Karachi, PAK.
Internal Medicine, Dow University of Health Sciences, Karachi, PAK.
出版信息
Cureus. 2020 Jun 7;12(6):e8483. doi: 10.7759/cureus.8483.
Chorea is an abnormal, nonrhythmic, and purposeless movement of limbs. There is a long list of diseases responsible for chorea; long-standing hyperglycemia can sometimes result in it, which typically manifests on one side of the body. MRI brain is an added diagnostic tool, which commonly shows hyperintense basal ganglia lesion on T1-weighted images. Chorea in the context of hyperglycemia is a reversible and infrequent occurrence, best managed with insulin and haloperidol combination therapy. Here, we discuss a patient with hyperglycemic-hemichorea, whose symptoms resolved completely within two months of taking insulin and haloperidol.
舞蹈症是肢体的一种异常、无节律且无目的的运动。导致舞蹈症的疾病众多；长期高血糖有时会引发舞蹈症，其通常在身体一侧表现出来。脑部磁共振成像（MRI）是一种辅助诊断工具，在T1加权图像上通常显示基底节病变呈高信号。高血糖情况下的舞蹈症是一种可逆且不常见的情况，最佳治疗方法是胰岛素和氟哌啶醇联合治疗。在此，我们讨论一位患有高血糖性偏侧舞蹈症的患者，其症状在使用胰岛素和氟哌啶醇治疗两个月内完全缓解。
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