Diagnostic features of hemichorea associated with non-ketotic hyperglycemia and literature review
Hu Yongxue1, Xia Guangyuan2
1Graduate School, Guizhou Medical University, Guiyang 550000, China; 2Department of Psychology, Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China
Abstract：ObjectiveTo explore the diagnostic characteristics of hemichorea associated with non-ketotic hyperglycemia (HC-NH). MethodsA retrospective analysis of the clinical data of a patient with HC-NH admitted to the Psychology Department of Affiliated Hospital of Guizhou Medical University on November 10, 2019, and relevant literatures were reviewed. ResultsA 64-year-old male patient was admitted to the hospital for involuntary movement of the right limb for more than 10 days. The clinical manifestations were hemichorea-like movements, increased blood sugar, and negative urine ketones. Brain magnetic resonance imaging (MRI) T1WI showed abnormally high signal in the left basal ganglia region. The patient was diagnosed with HC-NH, and the blood glucose was actively controlled. After treatment with haloperidol and clonazepam, the patient′s chorea-like symptoms disappeared. Followed up for 3 months, brain CT reexamination showed that the lesions shrunk, and the condition was stable without recurrence so far. ConclusionChorea-like symptoms, high blood sugar, negative urine ketones, abnormal signal in the basal ganglia region in brain MRI, are important diagnostic features of HC-NH, which could be improved after blood glucose control, sedation and antipsychotic treatment.
胡永雪 夏光源 王艺明. 非酮症高血糖偏侧舞蹈症的诊断学特征并文献复习[J]. 中华诊断学电子杂志, 2021, 9(1): 1-4.
Hu Yongxue1, Xia Guangyuan2. Diagnostic features of hemichorea associated with non-ketotic hyperglycemia and literature review. zhzdx, 2021, 9(1): 1-4.
