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Videnskab / 8. maj 2017

Hyperglykæmiinduceret hemichorea som differentialdiagnose til apopleksi

Kasuistik
Dato
8. maj 2017
Forfattere
Stine Munk Hald1, Willy Krone2, Zahid Abbas Minhas1 & David Gaist1 1) Neurologisk Afdeling, Odense Universitetshospital 2) Radiologisk Afdeling, Odense Universitetshospital Ugeskr Læger 2017;179:V01170006
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Reference: 
Ugeskr Læger 2017;179:V01170006
Sidetal: 
2-3
A stroke mimic: hemichorea associated with non-ketotic hyperglycaemia
An 85-year-old man with a history of diabetes was admitted with acute onset hemichorea. Laboratory findings confirmed poorly controlled diabetes. A brain computed tomography (CTC) revealed contralateral striatal hyperdensity. The findings were compatible with hyperglycaemia-induced hemichorea, and antidiabetic and symptomatic treatment was initiated. The symptoms remitted completely after six days, and a follow-up CTC showed partial resolution of the striatal changes. This case illustrates the importance of considering if hyperglycaemia is the cause of hemichorea, as early diagnosis and treatment yield an excellent prognosis.

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