CAJ | 학술논문

目的：分析高血糖相关偏身投掷和舞蹈症(HB-HC)的CT及MRI影像学表现及发病机制，提高对高血糖相关HB-HC的整体认识和诊断准确率。方法：回顾性分析5例高血糖相关HB-HC临床表现及影像学资料，通过文献分析获取其发病机制及引起特征性影像学表现的相关机制。结果：高血糖相关HB-HC临床表现单侧肢体不自主和大幅度运动。CT表现为基底节区高密度影，MRI表现为特征性壳核T1WI高信号。结论：高血糖相关HB-HC临床上比较少见，有特征性神经影像学表现，尽早诊断和治疗对患者预后良好，同时鉴别诊断显得尤为重要。故需综合考虑患者的既往病史、临床表现、实验室检查以及影像学等检查，有助于做出正确的临床诊断。
목적：분석고혈당상관편신투척화무도증(HB-HC)적CT급MRI영상학표현급발병궤제，제고대고혈당상관HB-HC적정체인식화진단준학솔。방법：회고성분석5례고혈당상관HB-HC림상표현급영상학자료，통과문헌분석획취기발병궤제급인기특정성영상학표현적상관궤제。결과：고혈당상관HB-HC림상표현단측지체불자주화대폭도운동。CT표현위기저절구고밀도영，MRI표현위특정성각핵T1WI고신호。결론：고혈당상관HB-HC림상상비교소견，유특정성신경영상학표현，진조진단화치료대환자예후량호，동시감별진단현득우위중요。고수종합고필환자적기왕병사、림상표현、실험실검사이급영상학등검사，유조우주출정학적림상진단。
Objective:To summarize the clinicopathologia and imaging features of Hemiballism-hemichorea induced by hyperglycemia and increase the understanding of the disease and improve the accuracy of diagnosis. Methods:The imaging images and clinical manifestation of 5 cases Hemiballism-hemichorea induced by hyperglycemia were analyzed retrospectively. The disease pathogenesis and mechanism relating to the Characteristic neuroradiological findings was obtained by literature review. Results:The common clinical manifestation of Hemiballism-hemichorea induced by hyperglycemia is unilateral limb involuntary movements. CT scans typically show an area of hyperdensity in the basal ganglia and The characteristic finding on the T1-weighted MRI is high signal intensity in the contralateral putamen. Conclusion: Hemiballism-hemichorea induced by hyperglycemia is an unusual but important differential diagnosis in patients with particular neuroradiological findings as prompt diagnosis and treatment of hyperglycemia has an excellent prognosis. The correct diagnosis could be received through integrated the patient's past medical history, presentation, laboratory and imaging inspection into account.