Clinical analysis of twelve cases with diabetic hemichorea / 中国综合临床

ABSTRACT

ObjectiveTo explore the clinical manifestations, pathogenesis, radiographic features and prognosis of Diabetic Hemichorea.Methods We conducted a retrospective analysis in 12 patients suffering Diabetic Hemichorea in terms of the clinical manifestations, radiographic features,laboratory results and treatment processeswho were hospitalized in our hospital from 2005 to 2010.Results Diabetic Hemichorea occurred mostly in the patients with diabetics with uncontrolled blood glucose level for a long term.Both ketosis and nonketosis patients can suffer this disease.Cranial CT and/or MRI imaging, especially those with high signal and clear border in MRIT1 WI but without edema shadow and mass effect, was of diagnostic value.The symptoms vanished 7 day to 4 years after the treatment.Conclusion Deepening the understanding of clinicians and imageological staff upon Diabetic Hemichorea can decrease the misdiagnosis and ensure timely treatment for this disease.