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糖尿病性偏侧舞蹈症1例

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摘要 女,71岁,口干、多饮、多尿伴消瘦1个月余,右侧肢体不自主运动4d入院. 患者1个月前无明显诱因出现口干、多饮、多尿,伴体质量减轻,未行特殊治疗,4 d前突发右侧肢体不自主运动,下肢明显,伴抽痛. 查体:血压110/70 mmHg. 神清,右肩部间断性不自主运动,右下肢有频繁不自主运动,右上肢肌力Ⅴ级,右下肢肌力Ⅳ+级,肌张力正常,病理征未引出. 实验室检查:糖化血红蛋白15.5%、血糖9.23 mmol/L. 影像学检查:CT示左侧尾状核、豆状核片状稍高密度影,边缘稍清,无占位性病变及水肿征(图1). 临床诊断为2型糖尿病;糖尿病性偏侧舞蹈症.
作者 黄小艺
出处 《中国中西医结合影像学杂志》 2017年第2期258-258,共1页 Chinese Imaging Journal of Integrated Traditional and Western Medicine
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