Clin Nucl Med. 2024 Jan 1;49(1):104-105. doi: 10.1097/RLU.0000000000004940. Epub 2023 Nov 16.
A 79-year-old man with nasopharyngeal cancer (NPC) presented with diplopia symptom and a history of diabetes mellitus was referred for an FDG PET/CT scan to determine the pretreatment staging. The FDG PET/CT scan revealed NPC with skull base invasion and decreased FDG uptake at the left striatum. A review of his clinical history and a brain MRI conducted 5 months ago confirmed a previous diagnosis of left hyperglycemic hemichorea. In this NPC patient with inadequate blood sugar control, unilateral striatum hypometabolism may persist for up to 5 months after the initial clinical symptoms.
一位 79 岁患有鼻咽癌（NPC）的男性出现复视症状和糖尿病史，被转介进行 FDG PET/CT 扫描以确定治疗前分期。FDG PET/CT 扫描显示 NPC 侵犯颅底，左侧纹状体摄取 FDG 减少。回顾他的临床病史和 5 个月前进行的脑部 MRI 证实了他之前患有左侧高血糖性舞蹈病的诊断。在这位 NPC 患者中，血糖控制不佳，单侧纹状体代谢低下可能在初始临床症状出现后持续长达 5 个月。
