Clinical and imaging analysis of diabetic striatopathy
10.3969/j.issn.1002-1671.2024.04.001
- VernacularTitle:糖尿病纹状体病的临床与影像学分析
- Author:
Yuanyuan XU
1
;
Rongji GAO
;
Qiang SHI
;
Chengxin YAN
Author Information
1. 山东第一医科大学第二附属医院医学影像科,山东 泰安 271000
- Keywords:
diabetic striatopathy;
hyperglycemia;
hemichorea;
computed tomography;
magnetic resonance imaging
- From:
Journal of Practical Radiology
2024;40(4):519-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical manifestation and imaging features of diabetic striatopathy(DS).Methods A retrospective analysis was conducted on the clinical,laboratory,and imaging data of 8 patients with DS,which was then summarized in conjunction with relevant literature.Results Random blood glucose(8.39-24.80 mmol/L)and glycated hemoglobin(HbA1c)(9.0%-21.50%)were elevated in 8 patients.One case had positive urine ketone bodies(++),while 7 cases had negative urine ketone bodies(-).Hemichorea was present in 7 cases,while 1 case did not exhibit hemichorea.A total of 7 cases showed unilateral striatum T1WI hyperintensity on MRI,and 8 cases showed iso/hyper-density on CT scans.Following blood glucose control and other related treatments,involuntary movement disappeared in 2 cases,and symptoms improved in 5 cases.Conclusion DS mainly occurs in diabetic patients with poorly controlled blood glucose,presenting with typical clinical manifestation and neuroimaging features.It manifests exclusively in the contralateral striatum of the affected limb.The diagnosis should be based on a combination of clinical,laboratory,and imaging findings to prevent missed or misdiagnoses.
