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Case No. 556
2020-06-01~2020-06-30
출제자 : 이경식
Hit : 611
| Period | 2020-06-01~2020-06-30 |
|---|---|
| Diagnosis | (nonketotic) Hyperglycemic encephalopathy (hemichorea) with status epilepticus |
| Gender |
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| Age | 62 |
| Clinical information | 평소 DM이 있는 62세 남자환자가 갑작스런 의식저하로 시행한 MRI영상입니다. 가능한 진단은? |
| Discussion | (nonketotic) Hyperglycemic encephalopathy (hemichorea) with status epilepticus Hyperglycemia와 이로 인한 status epilepticus가 동반 * Imaging feature of hyperglycemia - typically demonstrates signal changes particularly in the putamen and/or caudate. T1: hyperintense (most consistent finding of the disease) T2/FLAIR: variable but generally hypointense DWI: high diffusion signal * Imaging feature of status epilepticus - increased T2 signal with some swelling. - corresponding diffusion abnormalities, with / without decreased ADC values |
| Correct answer |
Correct Answer
Semi-Correct Answer |