临床荟萃

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2例特殊表现非酮症高血糖性偏侧舞蹈症临床分析

  

  1. 大连市第五人民医院 神经内二科,  辽宁  大连 116021
  • 出版日期:2020-09-20 发布日期:2020-07-09
  • 通讯作者: 徐萍, Email: dlxuping@qq.com

Clinical  analysis  of  2  cases  of  hemichorea  associated  with non-ketotic hyperglycemia and  literature  review

  1. Second Department of Neurology,  the Fifth People's Hospital of Dalian, Liaoning 116021, China
  • Online:2020-09-20 Published:2020-07-09
  • Contact: Corresponding author: Xu Ping, Email: dlxuping@qq.com

摘要: 非酮症高血糖性偏侧舞蹈症临床表现趋于多样。我院收治2例, 病例1为复发性病例,第一次表现为左足局灶型肌张力障碍发作,非舞蹈样动作,第二次存在临床症状与影像学改变明确不符。病例2存在单侧舞蹈样动作,MRI提示双侧T1高信号病灶。这种少见的临床表现有助于临床医生进一步认识本病,减少误诊。

关键词: 舞蹈症, 非酮症, 高血糖

Abstract: The clinical manifestations of hemichorea associated with nonketotic hyperglycemia tend  to be diverse.Two cases of  hemichorea  associated  with nonketotic hyperglycemia were admitted  to the hospital.  Case 1 was a recurrent case,  the first presentation was focal dystonia of  the left foot with nonchoreographic movements,  and the second clinical symptom was clearly inconsistent with the imaging changes. In case 2,  there was a unilateral dancelike movement,  and MRI showed bilateral  T1  hypersignaling  lesions.This rare clinical manifestation is helpful for clinicians to further understand the disease and reduce misdiagnosis.

Key words: chorea; nonketosis; , hyperglycemia