论文部分内容阅读
目的探讨糖尿病性偏侧舞蹈症的发病机制、临床表现、影像学特征、治疗及预后。方法回顾性分析6例糖尿病合并偏侧舞蹈症患者的临床资料,影像学表现及治疗经过,并复习相关文献。结果 6例均在血糖控制不良的情况下急性起病,均为突发一侧肢体舞蹈样运动,症状均清醒时出现,睡眠时消失,影像学表现有其特征性,头颅CT显示出现舞蹈样症状肢体的对侧尾状核和/或豆状核早期呈高密度,头颅MRI显示相对应的部位片状T1高信号,T2等稍低、或混杂信号,无明显水肿征象。所有患者均给予控制血糖治疗,其中4例给予氟哌啶醇治疗,症状均在短期内改善。结论糖尿病合并偏侧舞蹈症与糖尿病血糖控制不佳有关,结合特定部位的影像学改变可以做出诊断。通过控制血糖,症状可以在短期内缓解。
Objective To investigate the pathogenesis, clinical manifestations, imaging features, treatment and prognosis of hemophilia. Methods Retrospective analysis of 6 cases of diabetes mellitus patients with clinical data, imaging findings and treatment, and review the relevant literature. Results All the 6 cases were acutely onset under the condition of poorly controlled blood sugar, all of them were dance-like movements of sudden side limbs. The symptoms were both awake and disappeared when they slept. The imaging findings had their characteristic features. Symptoms The contralateral caudate nucleus and / or putamen showed a high density in the early part of the limb. The cranial MRI revealed a slightly lower flank T1 signal, a lesser T2 flare, or a mixed signal, with no obvious signs of edema. All patients were given controlled blood glucose treatment, 4 patients were given haloperidol treatment, the symptoms are improved in the short term. Conclusions Diabetes mellitus with hemDystrophy is associated with poorly controlled glycemic control of diabetes. Combined with imaging changes of specific sites, diagnosis can be made. By controlling blood sugar, symptoms can be relieved in the short term.