非酮症高血糖性舞蹈症  

Chorea associated with non-ketotic hyperglycemia

作　　者：尹汝尊[1] 刘瑞春[2] 臧颖卓[2] 田素斋[2] 

机构地区：[1]肃宁县人民医院,河北062350 [2]河北医科大学第二医院神经内科

出　　处：《脑与神经疾病杂志》2011年第3期-,共3页Journal of Brain and Nervous Diseases

摘　　要：目的对非酮症高血糖性舞蹈症患者的临床表现、影像学特征及发病机制进行分析。方法结合相关文献对5例非酮症高血糖舞蹈症患者的临床资料进行分析。结果 5例均急性起病,可表现为单侧或双侧肢体的舞蹈症状;血糖和血渗透压明显增高;影像学表现为特异性斑片状脑出血和纹状体T1高信号;联合应用降糖药物和多巴胺受体阻滞剂可控制舞蹈症状。结论非酮症性高血糖、舞蹈症以及MRI显示为纹状体T1高信号,可能构成舞蹈症临床综合征;影像学改变可能表示由代谢紊乱引起的斑片状脑出血,后者导致基底神经节运动环路受损,从而产生舞蹈样症状。Objective To study the clinical manifestations,neuroimaging characteristics and pathogenesis of chorea associated with non-ketotic hyperglycemia.Methods The clinical datas of five patients of chorea associated with non-ketotic hyperglycemia were analyzed and related literatures in the past were reviewed.Results All of the 5 patients were presenting an acute attack.The patients usually had elevated serum glucose level and higher osmotic pressure on admission.The imaging patterns might show cerebral petechial...

关 键 词：非酮症 高血糖 糖尿病 舞蹈病 磁共振 

分 类 号：R742.2[医药卫生—神经病学与精神病学]