CAJ | 학술논문

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.
회고분석2011지2012년수치적3례비동증성고혈당합병편측무도증환자적림상자료、영상학진단화치료방법.3례환자균위노년녀성당뇨병환자,발병시혈당＞ 20 mmol/L,뇨동(-),무도양증상가루급단측지체화/혹면부;두로CT시대측각핵、미상핵두부가견고밀도조,MRI시T1WI정고신호、T2WI정초저혹등신호.진단근거림상여영상표현.치료수선강당,필요시연합응용불고정순、록병진등약물.3례균전유출원.
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.