儿科患者的糖尿病条纹病 - - 一份关于可逆性和获得性运动障碍的病例报告
Maela P Palisoc1, Annfel Jave S Navarro2, Roland Dominic G Jamora3
1Section of Pediatric Neurology, Department of Pediatrics, National Children's Hospital, Quezon City, Philippines; Neuroscience Department, College of Medicine, San Beda University, Manila, Philippines.
糖尿病条纹病是一种罕见的疾病,在患有1型糖尿病的儿童中会导致非自愿的运动. 这一案例凸显了其在适当管理下潜在的可逆性.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
背景情况:
- 糖尿病条纹病 (DS) 是一种不常见的神经复杂症.
- 它与控制不良的糖尿病有关.
- 运动障碍,如 Hemichorea 和 hemiballismus 可能发生.
研究的目的:
- 报告一个儿科患者罕见的糖尿病条纹病的病例.
- 为了描述单边 Hemichorea 和 hemiballismus 的临床表现.
- 为了说明1型糖尿病中可逆症状的可能性.
主要方法:
- 案例报告的呈现方式.
- 对临床病史和神经学检查结果的审查.
- 分析神经成像结果 (例如MRI).
- 监测患者对血糖控制干预措施的反应.
主要成果:
- 这个孩子出现了急性发病的单边 Hemichorea 和 hemiballismus.
- 神经成像显示了基底腺的特征性变化,与糖尿病条纹性病变相一致.
- 1型糖尿病的密集治疗导致异常运动完全消失.
- 在达到血糖控制后,症状是可逆的.
结论:
- 在患有1型糖尿病的儿童中,应考虑糖尿病条纹病,这些儿童有运动障碍.
- 典型的神经成像发现对于诊断至关重要.
- 快速诊断和管理高血糖是症状逆转的必要条件.
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