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Nonketotic Hyperglycemic Hemichorea/Hemiballismus

Smirniotopoulos, M.D. JGSM - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Nonketotic Hyperglycemic Hemichorea/Hemiballismus

History: This previously healthy 50 y.o. woman presents with the acute onset of left sided hemichorea.

Findings: » CT (acute) • abnormal hyper-attenuation in the right basal ganglia (putamen and caudate head) • old left basal ganglia lacunar infarct • bilateral cerebellar wedge lesions » MRI (subacute - 3 days) • T1W hyperintensity in the same region as hyper-attenuation on CT (putamen and caudate head) • T2W hypointensity in basal ganglia - putamen and caudate head

Ddx: • Cerebral infarction • Reperfusion contrast enhancement • Hemorrhagic stroke • Hypertensive hemorrhage • Angioinvasive mycotic hemorrhage

Dxhow: Clinical, autopsy, and pathology

Exam: Spontaneous choreiform movements of the left arm. • BP 220/104 mm Hg • Glu 421 mg/dl • Ketones (-) • Hgb A1C - 17.7% Video of hemichorea(different pt) - http://en.wikipedia.org/wiki/File:Hemichorea_and_dystonia.ogv

No MeSH data available.


Abnormal hyperattenuation in the right basal ganglia.  This is "anatomic" in size and shape, corresponding to the lenticular nucleus and the head of the caudate nucleus.
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MPX1956_synpic54992: Abnormal hyperattenuation in the right basal ganglia. This is "anatomic" in size and shape, corresponding to the lenticular nucleus and the head of the caudate nucleus.


Nonketotic Hyperglycemic Hemichorea/Hemiballismus

Smirniotopoulos, M.D. JGSM - MedPix (2010)

Abnormal hyperattenuation in the right basal ganglia.  This is "anatomic" in size and shape, corresponding to the lenticular nucleus and the head of the caudate nucleus.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1956&req=5

MPX1956_synpic54992: Abnormal hyperattenuation in the right basal ganglia. This is "anatomic" in size and shape, corresponding to the lenticular nucleus and the head of the caudate nucleus.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Nonketotic Hyperglycemic Hemichorea/Hemiballismus

History: This previously healthy 50 y.o. woman presents with the acute onset of left sided hemichorea.

Findings: » CT (acute) • abnormal hyper-attenuation in the right basal ganglia (putamen and caudate head) • old left basal ganglia lacunar infarct • bilateral cerebellar wedge lesions » MRI (subacute - 3 days) • T1W hyperintensity in the same region as hyper-attenuation on CT (putamen and caudate head) • T2W hypointensity in basal ganglia - putamen and caudate head

Ddx: • Cerebral infarction • Reperfusion contrast enhancement • Hemorrhagic stroke • Hypertensive hemorrhage • Angioinvasive mycotic hemorrhage

Dxhow: Clinical, autopsy, and pathology

Exam: Spontaneous choreiform movements of the left arm. • BP 220/104 mm Hg • Glu 421 mg/dl • Ketones (-) • Hgb A1C - 17.7% Video of hemichorea(different pt) - http://en.wikipedia.org/wiki/File:Hemichorea_and_dystonia.ogv

No MeSH data available.