摘要
非酮症高血糖性偏侧舞蹈症是一种罕见的糖尿病并发症,尽管具有偏侧肢体的舞蹈样动作、非酮症高血糖、影像学表现为病变肢体对侧基底核区高信号等特点,但仍有部分患者以非典型的临床表现起病,且相关报道较少。本文通过对海南医学院第一附属医院收治的3例特殊的非酮症高血糖性偏侧舞蹈症患者的临床及影像学特点进行总结分析,以提高临床医师对罕见病的认识,减少不必要的漏诊、误诊。
Abstract
Non-ketotic hyperglycemic hemichorea is a rare clinical complication. It is characterized by dance-like movements in the paralyzed limb, non-ketotic hyperglycemia, and imaging manifestations of high signals in the contralateral basal ganglia of the diseased limb. However some patients still start with atypical clinical manifestations, and related reports are few. Hereon, the clinical and imaging characteristics of 3 atypical patients with non-ketotic hyperglycemic hemichorea admitted to the First Affiliated Hospital of Hainan Medical College were summarized and analyzed, so as to improve clinicians' understanding of rare diseases and reduce unnecessary missed diagnosis and misdiagnosis.
基金项目
海南省自然科学基金高层次人才项目(2019RC379)
海南省临床医学中心建设项目()()