Hemichorea with Contralateral High Signal Intensity Putaminal Lesion on T1-Weighted Images in Non-Ketotic Hyperglycemia

被引：4
|
作者：
Achilles, E. I. S. [1 ]
Maus, V. [2 ]
Fink, G. R. [1 ]
Maintz, D. [2 ]
van Eimeren, T. [1 ]
Mpotsaris, A. [2 ]
机构：
[1] Uniklin Koln, Klin & Poliklin Neurol, Kerpener Str 62, D-50937 Cologne, Germany
[2] Uniklin Koln, Inst Diagnost & Intervent Radiol, Cologne, Germany
来源：
FORTSCHRITTE DER NEUROLOGIE PSYCHIATRIE | 2016年 / 84卷 / 04期
关键词：
hemichorea-hemiballism; diabetes mellitus; movement disorders; BASAL GANGLIA; HEMIBALLISMUS-HEMICHOREA; DIABETIC-PATIENT; BLOOD-FLOW; CHOREA; MR; SPECTROSCOPY; SYMPTOMS; FEATURES;
D O I：
10.1055/s-0042-104347
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
A 64-year-old diabetic female patient presented with involuntary unilateral hyperkinetic movements of the left limbs. Cranial MRI showed a contralateral high signal intensity putaminal lesion on T1-weighted images without any signal changes in the T2-weighted images. This finding is characteristic for hemichorea-hemiballism associated with insufficiently treated diabetes mellitus. Additionally, proton MR spectroscopy was performed and revealed a decreased N-acetylaspartate/creatine and N-acetylaspartate/choline ratio, indicating neuronal damage of the contralateral putamen.
引用
收藏
页码：222 / 224
页数：3
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