Maia Maria, Moreira Ana Patrícia, Gonçalves Ana Isabel, Espírito Santo João, Araújo José
Internal Medicine, Hospital Beatriz Ângelo, Lisboa, PRT.
Neurology, Hospital Beatriz Ângelo, Lisboa, PRT.
Cureus. 2021 Nov 7;13(11):e19330. doi: 10.7759/cureus.19330. eCollection 2021 Nov.
Hemichorea-hemiballism associated with hyperglycemia is a syndrome characterized by a sudden occurrence of hemichorea, or its more severe expression hemiballism, in patients with non-ketotic hyperglycemia. Hemichorea-hemiballism tends to occur more commonly among elderly people and women of Asian origin. The authors present two rare cases of patients who manifested choreiform and ballistic movements of the limbs and concomitant non-ketotic hyperglycemia. Radiological findings were congruent with hyperglycemia etiology. These cases show that it is important to be aware of hemichorea-hemiballism associated with hyperglycemia, as there is a possible treatment and, if detected early on, a direct impact on prognosis.
与高血糖相关的偏侧舞蹈症-偏侧投掷症是一种综合征,其特征为非酮症高血糖患者突然出现偏侧舞蹈症,或其更严重的表现形式偏侧投掷症。偏侧舞蹈症-偏侧投掷症在老年人和亚裔女性中更为常见。作者报告了两例罕见病例,患者表现为肢体的舞蹈样和投掷样运动,并伴有非酮症高血糖。影像学检查结果与高血糖病因相符。这些病例表明,认识到与高血糖相关的偏侧舞蹈症-偏侧投掷症很重要,因为存在可能的治疗方法,而且如果早期发现,对预后有直接影响。