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中华脑血管病杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 501 -505. doi: 10.11817/j.issn.1673-9248.2024.05.016

临床病例研究

非酮症高血糖性偏身舞蹈症一例报道及文献回顾
曹慧1,(), 刘华1, 赵婷奕1, 唐茂庆1, 韩骐1, 于永华1   
  1. 1.012100 北京大学第三医院延庆医院神经内科
  • 收稿日期:2024-03-20 出版日期:2024-10-01
  • 通信作者: 曹慧

Hemichorea associated with non-ketotic hyperglycemia: a case report and literature review

Hui Cao1,(), Hua Liu1, Tingyi Zhao1, Maoqing Tang1, Qi Han1, Yonghua Yu1   

  1. 1.Department of Neurology, Yangqing Hospital of Peking University Third Hospital, Beijing 012100, China
  • Received:2024-03-20 Published:2024-10-01
  • Corresponding author: Hui Cao
引用本文:

曹慧, 刘华, 赵婷奕, 唐茂庆, 韩骐, 于永华. 非酮症高血糖性偏身舞蹈症一例报道及文献回顾[J]. 中华脑血管病杂志(电子版), 2024, 18(05): 501-505.

Hui Cao, Hua Liu, Tingyi Zhao, Maoqing Tang, Qi Han, Yonghua Yu. Hemichorea associated with non-ketotic hyperglycemia: a case report and literature review[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(05): 501-505.

非酮症高血糖性偏身舞蹈症(HC-NH)是一组以锥体外系症状起病,伴有高血糖的疾病,目前发病机制尚不明确。本文报道1 例老年HC-NH 患者,并完善相关辅助检查及治疗,以期提高临床对本疾病的认识。

Hemichorea associated with non-ketotic hyperglycemia (HC-NH) is a group of diseases characterized by the onset of extrapyramidal symptoms alongside hyperglycemia. The pathogenesis is currently unclear. This article presents a case of an elderly patient with HC-NH, with the aim to improve relevant auxiliary examinations and treatments to enhance clinical recognition and management of this disease.

图1 HC-NH 患者影像学结果。图a~c 为2023 年7 月13 日外院头部MRI 检查,其中图a 为T1W Flair;图b 为T2W Flair;图c 为DWI 序列,均未见基底节区高信号表现。图d~e 为2023 年7 月17 日我院头部MRI 检查,其中图d 为TIW Flair;图e 为T2W Flair,未见影像学特异表现,较入院前外院MRI 检查无明显变化。图f 为2023 年7 月24 日我院复查头部CT。多次影像学检查均未见明显基底节区高信号,无影像学特异表现 注:HC-NH 为非酮症高血糖性偏身舞蹈症;MRI 为磁共振成像;T1W Flair 为T1 加权液体抑制反转恢复序列;T2W Flair为T2 加权液体抑制反转恢复序列;DWI 为弥散加权成像
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