非酮症高血糖偏侧舞蹈症5例临床特点分析

Journal of International Neurology and Neurosurgery(2022)

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Abstract
由糖尿病引起的非酮症高血糖偏侧舞蹈症(HC-NH)临床较为罕见.该文报道了 5例HC-NH患者,均为老年女性,平均年龄70岁,有糖尿病史,发病至入院时间4~30d,糖化血红蛋白7.6%~17.5%.所有患者均自一侧肢体起病;1例患者头颅CT表现为发病对侧基底节区稍高密度影;3例患者MRI提示基底节区(单侧或双侧基底节)高信号,病灶呈团片状或斑点状;1例无MRI异常表现.所有患者在降糖或增加抗多巴胺能类药物治疗后症状缓解,预后良好.
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