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Hyperglykaemiinduceret hemichorea som differentialdiagnose til apopleksi
Engelsk titel: A stroke mimic: hemichorea associated with non-ketotic hyperglycaemia Läs online Författare: Hald, Stine Munk ; Krone, Willy ; Minhas, Zahid Abbas ; Gaist, David Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 18010210

Tidskrift

Ugeskrift for Laeger 2017;179(20)1768-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

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.