Warren Alpert Medical School of Brown University, Providence, RI; Brain Health Imaging Institute at Weill Cornell Medicine Department of Radiology, New York, NY.
Department of Medicine, The Miriam Hospital; Warren Alpert Medical School of Brown University, Providence, RI.
R I Med J (2013). 2022 Sep 1;105(7):46-48.
We report a case of a patient who first presented with hyperglycemic chorea, and subsequently with hypoglycemic chorea. The patient's hypoglycemia was thought to be iatrogenic, highlighting the importance of careful glucose management following glycemia- related chorea. Presumably secondary to the patient's chorea, the patient also suffered from new onset shoulder pain, which was managed with gabapentin. Unfortunately, due to the patient's renal failure, the gabapentin, combined with infection, led to encephalopathy in this patient. This report presents and offers useful tips on the management of a unique patient who suffered from hyperglycemic chorea, hypoglycemic chorea, and encephalopathy, all within a few weeks.
我们报告了一例患者，该患者最初表现为高血糖性舞蹈病，随后出现低血糖性舞蹈病。患者的低血糖被认为是医源性的，这凸显了在与血糖相关的舞蹈病后进行仔细血糖管理的重要性。推测是由于患者的舞蹈病，该患者还出现了新发的肩部疼痛，使用加巴喷丁进行了治疗。不幸的是，由于患者的肾衰竭，加巴喷丁加上感染，导致该患者发生脑病。本报告介绍了一位独特患者的病情，该患者在数周内经历了高血糖性舞蹈病、低血糖性舞蹈病和脑病，提供了有关该患者病情管理的有用提示。
