高龄非酮症性高血糖并发偏侧舞蹈症1例报告及文献复习
| 作者: |
1张兰坤
1 南京中医药大学第二附属医院神经内科，南京 210017 |
| 通讯: |
张兰坤
Email: lankun215@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.07.047 |
摘要
偏侧舞蹈症的常见原因有对侧基底节区脑血管意外、颅内肿瘤、颅内感染、甲状腺功能减退症等，而因非酮症性高血糖引起则极为少见。笔者近期诊治了一位非酮症性高血糖并发偏侧舞蹈症的老年男性患者，其典型的影像学表现为头颅CT平扫显示纹状体高密度影及头颅MRI T1加权像显示相同区域高信号改变。
关键词：
偏侧舞蹈症；非酮症性糖尿病；临床报道
Non-ketotic hyperglycemia with hemichorea in the elderly: A case report and literature review
CorrespondingAuthor: ZHANG Lankun Email: lankun215@163.com
DOI: 10.3978/j.issn.2095-6959.2020.07.047
Abstract
The common causes of hemichorea are cerebrovascular accident in the contralateral basal ganglia, intracranial tumors, intracranial infection, hypothyroidism, etc. However, non-ketotic hyperglycemia is a rare cause. The author recently diagnosed and treated an elderly male patient with non-ketotic hyperglycemia complicated with hemichorea, the typical imaging manifestations were that CT scan showed high density shadow of striatum and T1 weighted image of head MRI showed high signal in the same area.
Keywords：
hemichorea; non-ketotic diabetes mellitus; clinical report