Clinics in diagnostic imaging (166). Nonketotic hyperglycaemic chorea-hemiballismus
Singapore medical journal
;
: 161-quiz 165, 2016.
Artículo
en Inglés
| WPRIM
| ID: wpr-296457
ABSTRACT
A 68-year-old woman with poorly controlled diabetes mellitus presented to the emergency department with choreoathetoid movements affecting the upper and lower left limbs. Computed tomography of the brain did not show any intracranial abnormalities. However, subsequent magnetic resonance (MR) imaging of the brain revealed an increased T1 signal in the right basal ganglia, raising the suspicion of nonketotic hyperglycaemic chorea-hemiballismus. Management consisted of adjusting her insulin dose to achieve good glycaemic control. The patient subsequently recovered and was discharged after eight days. There are many causes of basal ganglia T1 hyperintensity, including hyperglycaemia in patients with poorly controlled diabetes mellitus. This case emphasises the importance of MR imaging in the early diagnosis of hyperglycaemia as a cause of chorea-hemiballismus, to enable early treatment and a better clinical outcome.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Encéfalo
/
Diagnóstico por Imagen
/
Imagen por Resonancia Magnética
/
Tomografía Computarizada por Rayos X
/
Corea
/
Discinesias
/
Diagnóstico
/
Diagnóstico Diferencial
/
Hiperglucemia
/
Métodos
Tipo de estudio:
Estudio diagnóstico
/
Estudio de tamizaje
Límite:
Anciano
/
Femenino
/
Humanos
Idioma:
Inglés
Revista:
Singapore medical journal
Año:
2016
Tipo del documento:
Artículo
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