透過您的圖書館登入
IP:3.141.152.173
  • 期刊

神經影像(九十七)非酮性高血糖致單側舞蹈症之個案報告

摘要


非酮性高血糖致單側舞蹈症(non-ketotic hyperglycemic hemichorea, NKHH)為一種高血糖所導致的罕見併發症,症狀為單側肢體的非自主性運動,典型影像特色在電腦斷層掃描以及核磁共振檢查上可見單側紋狀體(striatum)之異常密度或訊號表現。本文所提出的個案為一位患有第二型糖尿病的89歲女性,因血糖控制不佳而產生了左側肢體的不自主運動,經過影像檢查後在右側紋狀體發現此疾病的典型影像學特色,並在積極控制血糖後症狀逐漸緩解。本文也將討論其他影像表現類似的疾病鑑別診斷和與此疾病的區分關鍵。

參考文獻


Priola AM, Gned D, Veltri A et al. Case 204: Nonketotic hyperglycemia-induced hemiballism-hemichorea. Radiology 2014;271:304-8.
Cressman S, Rheinboldt M, Lin D et al. Nonketotic hyperglycemia-induced hemichorea-hemiballism. Appl Radiol 2018;47:24-6.
Suárez-Vega VM, Sánchez Almaraz C, Bernardo AI et al. CT and MR Unilateral Brain Features Secondary to Nonketotic Hyperglycemia Presenting as Hemichorea-Hemiballism. Case Rep Radiol 2016;2016:5727138.
Yacoub HA. Abnormal Magnetic Resonance Imaging and Hemichorea Associated With Non-Ketotic Hyperglycemia. J Neurol Res 2013;3:146-9.
Hansford BG, Albert D, Yang E. Classic neuroimaging findings of nonketotic hyperglycemia on computed tomography and magnetic resonance imaging with absence of typical movement disorder symptoms (hemichorea-hemiballism). J Radiol Case Rep 2013;7:1-9.

延伸閱讀