Two cases of hemiballism-hemichorea with T1-weighted MR image hyperintensities in patients with hyperglycemia

被引:14
作者
Ohmori, H
Hirashima, K
Ishihara, D
Maeda, Y
Hirano, T
Uyama, E
Uchino, M
机构
[1] Kumamoto Univ, Grad Sch Med Sci, Dept Neurol, Kumamoto 8600811, Japan
[2] Yamaga Chuo Hosp, Dept Neurol, Kumamoto, Japan
[3] Tamana Cent Hosp, Dept Internal Med, Kumamoto, Japan
关键词
hemiballism-hemichorea (HB-HC); hyperglycemia; T1-WI hyperintensity; single photon ernission computed tomography (SPECT); Z-score imaging system (eZIS); pimozide;
D O I
10.2169/internalmedicine.44.1280
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Two cases of hemiballism-hemichorea have been reported in woman patients with hyperglycemia; this was a feature of striatal hyperintensity on the T1-weighted MRI. In the first case, strict management of diabetes and treatment with pimozide effectively suppressed the movement disorder. The Z-score Imaging System revealed hyperperfusion in the bilateral dentate nuclei, left striatum, and bilateral motor cortices. In the second case, painful hemiballism-hemichorea limb, followed by the upper limb. The severity of HB-HC corresponded to the expansion of the striatal lesion. The mechanism of HB-HC by using statistical cerebral blood flow evaluation has also been discussed.
引用
收藏
页码:1280 / 1285
页数:6
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