糖尿病条纹病的病例是由于不受控制的2型糖尿病导致的
M L Cheneler1, K Qureshi1, C Bahrami1
1Department of Internal Medicine, Medical City Weatherford, Weatherford, Texas, USA.
Endocrinology, diabetes & metabolism case reports
|May 14, 2024
概括
脊髓灰质炎 - 脊髓灰质炎综合征是不控制糖尿病的罕见并发症,表现为非自愿的运动. 严格的血糖控制是管理这种疾病的关键,称为糖尿病条纹病.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
背景情况:
- 脊髓炎 - 脊髓炎综合征 (HCHB) 综合征涉及非自愿的,不规则的和暴力的运动.
- HCHB综合征的代谢原因很少见,失控的糖尿病是显著的原因.
- 糖尿病条纹病,一个在2009年创造的术语,描述了糖尿病的二次性HCHB综合征.
研究的目的:
- 为了呈现一种由不受控制的2型糖尿病引起的HCHB综合征病例.
- 突出神经成像发现和糖尿病条纹病的临床表现.
- 强调血糖控制在管理HCHB综合征中的重要性.
主要方法:
- 一个患有麻痺和高血糖症 (血糖> 500 mg/dL) 的病例报告.
- 没有对比的头部计算机断层扫描 (CT) 显示了右尾状核和门的高密度病变.
- 治疗包括胰岛素用于非基性高血糖症和治疗药物不服药.
主要成果:
- 患者在CT上呈现出右侧条纹性高密度和逆侧胆固醇.
- 在严格的血糖控制下,观察到 Hemichorea 和 hemiballismus 的改善.
- 4个月后重复神经影像显示,高密度的解决方案.
结论:
- 糖尿病条纹病症的特点是血糖控制不佳,CT上单边的条纹性高密度,和对侧的律运动.
- 虽然确切的病理生理学尚不清楚,但血糖控制是主要的治疗方法.
- 有效的管理包括胰岛素治疗和解决药物不服药问题,以防止复发.
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