PDF(Pubmed)
Abstract：
We report the case of a man in his mid-80s with diabetes mellitus who presented to the emergency department with a 1-day history of right-sided choreiform movements and falls. Laboratory tests revealed blood glucose of 597 mg/dL. Non-contrast CT imaging of his head demonstrated a faint hyperdensity involving the left lentiform nucleus and brain MRI showed a hyperintensity in the left basal ganglia on T1-weighted images. These lesions are typical of diabetic striatopathy. Symptoms of hemichorea/hemiballismus did not resolve with glycaemic control and several pharmacological agents were tried with eventual improvement with risperidone. He was discharged to a rehabilitation facility and had mild persistent arm chorea at 6-month follow-up.
摘要：
我们报告了一名80年代中期患有糖尿病的男子的病例，该男子向急诊科就诊，有1天的右侧舞蹈运动和跌倒史。实验室检查显示血糖为597mg/dL。他的头部的非对比CT成像显示出微弱的高密度，涉及左扁形核，而脑MRI在T1加权图像上显示出左基底神经节的高强度。这些病变是典型的糖尿病性纹状体病变。血糖控制并不能解决偏球症/偏瘫的症状，并尝试了几种药物，利培酮最终得到改善。在6个月的随访中，他已出院到康复机构，并患有轻度持续性手臂舞蹈病。
