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題名 | Unique Clinicoradiological Manifestation in Patients with Hemiballism-Hemichorea Caused by Non-Ketotic Hyperglycemia: Report of Two Cases=非酮病性高血糖引起之單側舞蹈症病人獨特的臨床放射線表徵:2病例報告 |
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作者 | 林瑞榮; 扈春安; 施純熙; 樂國柱; | 書刊名 | 秀傳醫學雜誌 |
卷期 | 2:1 2000.01[民89.01] |
頁次 | 頁45-49 |
分類號 | 415.933 |
關鍵詞 | 單側舞蹈症; 高血糖; 電腦斷層掃瞄; 磁振造影; Hemiballism-hemichorea; Hyperglycemia; CT scan; MR image; |
語文 | 英文(English) |
中文摘要 | 我們報告2例老年男性因非酮病性高血糖引起之單側舞蹈症。病人之腦部電腦斷層 掃瞄顯示對側豆狀核有高密度之病灶,磁振造影檢查則顯示在對側豆狀核有異常訊號之改變 ;T1 影像為高的訊號及在 T2 影像則是低密度訊號。 在高血糖獲得控制之後,病人們的過 動現象立即戲劇性的消失,其中一位病人後續追蹤的腦部電腦斷層掃瞄及磁振造影檢查研究 顯示,在 3 個月後腦部電腦斷層之高密度病灶完全的解決,而在 6 個月後磁振造影檢查之 異常訊號亦消失。因此,我們認為此種獨特的臨床放射線表徵,可發生於因非酮病性高血糖 引起之單側舞蹈症年老病人,經過適當處理之後預後非常良好。 |
英文摘要 | In this report, we present 2 cases of hemiballism-hemichorea caused by non-ketotic hyperglycemia. Both were old patients, aged 62 and 69 respectiviely. Brain computed tomography (CT) revealed a hyperdense lesion in the putamen and magnetic resonance imaging (MRI) demonstrated an abnormal hyperintense focus in T1-weighted and hypointense focus in T2-weighted images at the corresponding areas for both cases. Their hyperkinesia disappeared with control of hyperglycemia. Follow-up in 1 patient demonstrated complete resolution of the lesion by CT 3 months later, that remained abnormal until 6 months later by MRI. The above findings suggest that hemiballism-hemichorea in old patients presented with non-ketotic hyperglycemia might show a charateristic clinicoradiological manifestation but of a good prognosis. |
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