老年男性非酮症高血糖性偏侧舞蹈症：一例报告
Nonketotic Hyperglycemic Hemichorea in an Elderly Male: A Case Report.
作者信息
Ganessane Ezhilkugan, Nathan Balamurugan, Balaraman Nithya, Uthayakumar Amaravathi, Karn Shivani
机构信息
Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
出版信息
J Emerg Med. 2023 Sep;65(3):e234-e236. doi: 10.1016/j.jemermed.2023.04.014. Epub 2023 Apr 23.
BACKGROUND
Nonketotic hyperglycemic hemichorea is a rare complication of diabetes mellitus seen in the emergency department. It is most commonly reported in elderly women, predominantly of Asian race, with poorly controlled diabetes mellitus. Patients present with a triad of nonketotic hyperglycemia, hemichorea, and contralateral basal ganglia abnormality on imaging. Its exact pathophysiology is still not known. However, it has a very good prognosis with early diagnosis and treatment.
CASE REPORT
We report a case of hemichorea involving the right upper and lower limbs due to nonketotic hyperglycemia. The patient's symptoms resolved after normalization of blood glucose. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Nonketotic hyperglycemic hemichorea should be included in the differential of a patient presenting with chorea and high blood glucose levels. It has an excellent prognosis with both symptoms and imaging abnormalities typically resolving completely with restoration of normoglycemia.
背景
非酮症高血糖性偏侧舞蹈症是急诊科中糖尿病罕见的并发症。它最常报道于老年女性，主要为亚洲人种，糖尿病控制不佳。患者表现为非酮症高血糖、偏侧舞蹈症和影像学上对侧基底节异常三联征。其确切的病理生理学仍不清楚。然而，早期诊断和治疗预后良好。
病例报告
我们报告一例因非酮症高血糖导致右上肢和下肢偏侧舞蹈症的病例。血糖正常后患者症状缓解。急诊医生为何应了解此疾病？：非酮症高血糖性偏侧舞蹈症应纳入舞蹈症和高血糖水平患者的鉴别诊断中。其预后良好，症状和影像学异常通常在血糖恢复正常后完全缓解。
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