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Case No. 513
2019-04-01~2019-04-30
출제자 : 정미선
Hit : 533
| Period | 2019-04-01~2019-04-30 |
|---|---|
| Diagnosis | Nonketotic hyperglycemia hemichorea |
| Gender |
|
| Age | 84 |
| Clinical information | 84세 여자 갑자기 시작된 오른쪽 얼굴과 양 사지에 불수의적인 움직임이 있었고, 당뇨, 고혈압, 뇌졸중으로 치료받는 중이다. 진단은? |
| Discussion | Nonketotic hyperglycemia hemichorea CT Findings - Initially normal - Subtle hyperdensity in the striatal region (caudate nucleus and putamen), contralateral to the body side affected by hemichoreic movements. MR Findings - T1 hyperintensity in the striatal region (caudate nucleus and putamen) - Hypointense but variable signal on T2/FLAIR and high diffusion signal - Imaging findings gradually resolve after hyperglycemia correction |
| Correct answer |
Correct Answer
Semi-Correct Answer |