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Case No. 289
2012-12-01~2012-12-31
출제자 : 설유리
Hit : 524
| Period | 2012-12-01~2012-12-31 |
|---|---|
| Diagnosis | Chorea-Ballismus with Nonketotic Hyperglycemia in Primary Diabetes Mellitus |
| Clinical information | M/74 C.C: hemichoreic movement (좌측 다리가 자기의지와 달리 걸음이 빨라지고, 천천히 가려해도 조절되지 않고, 뻗쳐나가는 느낌) for 1 month P/Hx.: DM pt. 한두달 전부터 약을 불규칙적으로 복용. |
| Discussion | Nonketotic hyperglycemia is an unusual cause of chorea-ballismus, and chorea-ballismus is also a rare manifestation of primary DM CT: unilateral or bilateral hyperdense lesion in caudate nucleus or basal ganglia MR: T1 high, T2 low SI in caudate nucleus or basal ganglia Pathophysiology Unknown Possible explanation: demyelination or patechial hemorrhage, myelin destruction |
| Correct answer |
Correct Answer
Semi-Correct Answer |