糖尿病非酮症偏身舞蹈症一例并文献复习

Hemichorea associated with non-ketotic hyperglycemia:A case report

糖尿病非酮症偏身舞蹈症(hemichorea associated with non-ketotic hyperglycemia,HC-NH)是一种糖尿病罕见并发症,其特征是突然和自发的非重复运动,临床表现为一侧肢体远端不规则的舞蹈样动作,单侧肢体多见,双侧受累少见。本文介绍1例以双侧肢体不自主运动为主要特征的糖尿病非酮症患者的诊疗过程。本文提示糖尿病患者出现继发性肢体不自主抖动,需考虑本病的可能,早期治疗可逆转。

Hemichorea associated with non-ketotic hyperglycemia(HC-NH)is a rare complication of diabetes mellitus.It is characterized by sudden and spontaneous non-repeating movements.Clinically,it presents as irregular dance-like movements in the distal parts of one limb,with unilateral involvement being more common and bilateral involvement being rare.Early diagnosis and treatment could improve the prognosis.We report a patient with hyperglycemia who developed bilateral involvement.It highlights the need to consider this condition in diabetic patients who present with secondary involuntary limb movements.Early treatment may lead to reversal of the symptoms.