Clinical features and neuroimaging analysis of hemichorea and non-ketotic hyperglycemia
10.3760/cma.j.issn.1671-7368.2014.08.025
- VernacularTitle:非酮症高血糖致偏侧舞蹈症三例临床特点与影像学分析
- Author:
Min WANG
;
Xiaoling WANG
;
Huaiqiang HU
;
Bingzhen CAO
- Publication Type:Journal Article
- Keywords:
Hyperglycemia,nonketotic;
Chorea;
Diagnostic imaging
- From:Chinese Journal of General Practitioners
2014;13(8):692-694
- CountryChina
- Language:Chinese
-
Abstract:
Three cases of nonketotic hyperglycemia plus hemichorea were treated from 2011 to 2012.And the clinical data,radiological diagnosis and treatment were retrospectively analyzed.Three patients were all elderly diabetics with an onset level of glucose ＞ 20 mmol/L and negative urine ketone.Dance symptoms involved unilateral extremity and/or face.Cranial computed tomography showed highdensity lesions in contralateral putamen and caudate nucleus head.And magnetic resonance imaging detected T1 WI high signal,T2WI slightly low or equal signals.The diagnosis was based on clinical features and imaging manifestations.The primary treatment was lowering blood sugar plus uses of haloperidol,chlorpromazine and other drugs when necessary.Three cases were all cured.
