Nassal Michelle, San Miguel Christopher
The Ohio State University, Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio.
Clin Pract Cases Emerg Med. 2022 Aug;6(3):216-219. doi: 10.5811/cpcem.2022.2.55160.
Nonketotic hyperglycemia-associated chorea is a rare condition that upon presentation to the emergency department can be easily misdiagnosed as a seizure or a stroke. Although uncommon, identification of this condition can aid emergency physicians in avoiding unnecessary and potentially harmful treatments for other neurological pathology. Furthermore, prompt hyperglycemic control can result in reversal of symptoms within days.
We present a case of nonketotic hyperglycemia-associated chorea where the patient was transferred to our facility as a hemorrhagic stroke alert, based on a false-positive interpretation of head computed tomography (CT) imaging.
Nonketotic hyperglycemia on CT imaging and clinical presentation can mimic stroke presentations. Prompt recognition of key features can lead to appropriate treatment.
非酮症高血糖相关性舞蹈症是一种罕见病症，在急诊科就诊时很容易被误诊为癫痫发作或中风。尽管这种情况不常见，但识别该病症有助于急诊科医生避免对其他神经病理学进行不必要且可能有害的治疗。此外，迅速控制高血糖可在数天内使症状逆转。
我们报告一例非酮症高血糖相关性舞蹈症病例，该患者因头部计算机断层扫描（CT）成像的假阳性解读，作为出血性中风警报被转至我们的机构。
CT成像和临床表现上的非酮症高血糖可模仿中风表现。迅速识别关键特征可促成适当治疗。
