| 非酮症高血糖致偏侧舞蹈症三例临床特点与影像学分析 |
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| 引用本文： | 王敏,王晓玲,胡怀强,曹秉振.非酮症高血糖致偏侧舞蹈症三例临床特点与影像学分析[J].中华全科医师杂志,2014(8):692-694. |
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| 作者姓名： | 王敏 王晓玲 胡怀强 曹秉振 |
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| 作者单位： | 解放军第二军医大学济南临床医学院济南军区总医院神经内科,济南250031 |
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| 摘 要： | 回顾分析2011至2012年收治的3例非酮症性高血糖合并偏侧舞蹈症患者的临床资料、影像学诊断和治疗方法.3例患者均为老年女性糖尿病患者,发病时血糖＞ 20 mmol/L,尿酮（-）,舞蹈样症状可累及单侧肢体和/或面部;头颅CT示对侧壳核、尾状核头部可见高密度灶,MRI示T1WI呈高信号、T2WI呈稍低或等信号.诊断根据临床与影像表现.治疗首先降糖,必要时联合应用氟哌啶醇、氯丙嗪等药物.3例均痊愈出院.
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| 关 键 词： | 高血糖症 非酮性 舞蹈症 诊断显像 |
Clinical features and neuroimaging analysis of hemichorea and non-ketotic hyperglycemia |
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| Wang Min,Wang Xiaoling,Hu Huaiqiang,Cao Bingzhen.Clinical features and neuroimaging analysis of hemichorea and non-ketotic hyperglycemia[J].Chinese JOurnal of General Practitioners,2014(8):692-694. |
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| Authors: | Wang Min Wang Xiaoling Hu Huaiqiang Cao Bingzhen |
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| Institution: | (Department of Neurology, Jinan Clinical Medical College, Second Military Medical University, Jinan General Military Hospital, Jinan 250031, China) |
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| Abstract: | Three cases of nonketotic hyperglycemia plus hemichorea were treated from 2011 to 2012.And the clinical data,radiological diagnosis and treatment were retrospectively analyzed.Three patients were all elderly diabetics with an onset level of glucose 〉 20 mmol/L and negative urine ketone.Dance symptoms involved unilateral extremity and/or face.Cranial computed tomography showed highdensity lesions in contralateral putamen and caudate nucleus head.And magnetic resonance imaging detected T1 WI high signal,T2WI slightly low or equal signals.The diagnosis was based on clinical features and imaging manifestations.The primary treatment was lowering blood sugar plus uses of haloperidol,chlorpromazine and other drugs when necessary.Three cases were all cured. |
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| Keywords: | Hyperglycemia nonketotic Chorea Diagnostic imaging |
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