临床荟萃
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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 nonketotic hyperglycemia tend to be diverse.Two cases of hemichorea associated with nonketotic hyperglycemia were admitted to the hospital. Case 1 was a recurrent case, the first presentation was focal dystonia of the left foot with nonchoreographic movements, and the second clinical symptom was clearly inconsistent with the imaging changes. In case 2, there was a unilateral dancelike 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; nonketosis; , hyperglycemia
徐萍. 2例特殊表现非酮症高血糖性偏侧舞蹈症临床分析[J]. 临床荟萃, doi: 10.3969/j.issn.1004-583X.2020.09.015.
Xu Ping. Clinical analysis of 2 cases of hemichorea associated with non-ketotic hyperglycemia and literature review[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2020.09.015.
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链接本文: https://huicui.hebmu.edu.cn/CN/10.3969/j.issn.1004-583X.2020.09.015
https://huicui.hebmu.edu.cn/CN/Y2020/V35/I9/845