Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia

被引：11

作者：

Kitagawa, Masayuki ^{[1
]}

Yamanaka, Yoshihiro ^{[1
]}

Adachi, Toru ^{[1
]}

Ito, Junitsu ^{[1
]}

Fukase, Kazutoshi ^{[1
]}

Ohta, Ikuro ^{[1
]}

Katagiri, Tadashi ^{[2
]}

机构：

[1] Yamagata Prefectural Kahoku Hosp, Dept Internal Med, Kahoku, Ishikawa, Japan

[2] Yamagata Prefectural Kahoku Hosp, Dept Neurol, Kahoku, Ishikawa, Japan

来源：

INTERNAL MEDICINE | 2017年 / 56卷 / 22期

关键词：

diabetic hemichorea-hemiballism; prompt improvement of hyperglycemia; lens nucleus; HEREDITARY CERULOPLASMIN DEFICIENCY; MR-IMAGES; MELLITUS; PATIENT; BRAIN; CHOREA; KETOACIDOSIS; DISEASE;

D O I：

10.2169/internalmedicine.8615-16

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment.

引用

页码：3073 / 3076

页数：4

共 18 条

[1] RAPID TIGHTENING OF BLOOD-GLUCOSE CONTROL LEADS TO TRANSIENT DETERIORATION OF RETINOPATHY IN INSULIN DEPENDENT DIABETES-MELLITUS - THE OSLO STUDY
DAHLJORGENSEN, K
BRINCHMANNHANSEN, O
HANSSEN, KF
SANDVIK, L
AAGENAES, O
[J]. BRITISH MEDICAL JOURNAL, 1985, 290 (6471) : 811 - 815
[2] Hypocaeruloplasminaemia with heteroallelic caeruloplasmin gene mutation: MRI of the brain
Daimon, M
Moriai, S
Susa, S
Yamatani, K
Hosoya, T
Kato, T
[J]. NEURORADIOLOGY, 1999, 41 (03) : 185 - 187
[3] Hyperglycemic Chorea-Ballism or Acute Exacerbation of Huntington's Chorea? Huntington's Disease Unmasked by Diabetic Ketoacidosis in Type 1 Diabetes Mellitus
Hashimoto, Ken-ichi
Ito, Yasufumi
Tanahashi, Hiromichi
Hayashi, Makoto
Yamakita, Noriyoshi
Yasuda, Keigo
[J]. JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 2012, 97 (09) : 3016 - 3020
[4] Blood brain barrier destruction in hyperglycemic chorea in a patient with poorly controlled diabetes
Iwata, A
Koike, F
Arasaki, K
Tamaki, M
[J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 1999, 163 (01) : 90 - 93
[5] Hereditary caeruloplasmin deficiency: Clinicopathological study of a patient
Kawanami, T
Kato, T
Daimon, M
Tominaga, M
Sasaki, H
Maeda, K
Arai, S
Shikama, Y
Katagiri, T
[J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1996, 61 (05) : 506 - 509
[6] The pallidoreticular pattern of brain damage on MRI in a patient with carbon monoxide poisoning
Kawanami, T
Kato, T
Kurita, K
Sasaki, H
[J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1998, 64 (02) : 282 - 282
[7] HEMIBALLISMUS-HEMICHOREA AND NONKETOTIC HYPERGLYCEMIA
LIN, JJ
CHANG, MK
[J]. JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1994, 57 (06) : 748 - 750
[8] MARKED INCREASE IN CEREBROSPINAL-FLUID UBIQUITIN IN CREUTZFELDT-JAKOB DISEASE
MANAKA, H
KATO, T
KURITA, K
KATAGIRI, T
SHIKAMA, Y
KUJIRAI, K
KAWANAMI, T
SUZUKI, Y
NIHEI, K
SASAKI, H
YAMADA, S
HIROTA, K
KUSAKA, H
IMAI, T
[J]. NEUROSCIENCE LETTERS, 1992, 139 (01) : 47 - 49
[9] NAGAI C, 1995, AM J NEURORADIOL, V16, P1243
[10] Regional differences in genetic subgroup frequency in hereditary cerebellar ataxia, and a morphometrical study of brain MR images in SCA1, MJD and SCA6
Nagaoka, U
Suzuki, Y
Kawanami, T
Kurita, K
Shikama, Y
Honda, K
Abe, K
Nakajima, T
Kato, T
[J]. JOURNAL OF THE NEUROLOGICAL SCIENCES, 1999, 164 (02) : 187 - 194

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