[1]李化强黄雪元黄庆松苏红梅王珂 王子恒 朱旭莹.中西医结合治愈糖尿病纹状体病患者一例[J].现代中医药,2024,(05):073-77.[doi:10.13424/j.cnki.mtcm.2024.05.014]
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中西医结合治愈糖尿病纹状体病患者一例()
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《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2024年05期
页码:
073-77
栏目:
出版日期:
2024-09-20

文章信息/Info

文章编号:
1672-0571(2024)04-0070-05
作者:
李化强1黄雪元1黄庆松1苏红梅1王珂2 王子恒2 朱旭莹2
1.上海市嘉定区中医医院,上海 201899;
2.上海中医药大学附属曙光医院老年病科,上海 200021
关键词:
关键词:糖尿病纹状体病偏侧舞蹈症高血糖颤病中西医结合
分类号:
R255.4
DOI:
10.13424/j.cnki.mtcm.2024.05.014
文献标志码:
A
摘要:
摘 要:糖尿病纹状体病(Diabetic striatopathy,DS)是糖尿病的一种罕见并发症,该病特点是高血糖状态、急性或亚急性不自主舞蹈样运动和对侧纹状体可逆性的MRIT1加权像高信号或CT扫描高密度影。在紧急情况下,会误导临床医生做出脑出血或缺血性梗死的错误诊断。该例急性起病的DS病例,通过概述其病程、症状特点及典型的影像学表现,得出了准确的诊断。同时,在控制血糖的基础上,结合中医辨证理论,本病病机以“肝肾阴津亏虚”为本,“肝风肝阳内动”为标,兼有血瘀、痰湿等病理因素,治疗以滋阴潜阳熄风为主,同时结合活血通络之法,取得良好疗效。

参考文献/References:

[1]CHUA CB,SUN CK,HSU CW,et al.“Diabetic striatopathy”:clinical presentations,controversy,pathogenesis,treatments,and outcomes[J].Sci Rep,2020,10(1):1594.
[2]ONDO,W.G.Handbook of Clinical Neurology (Vol.100)[M].Elsevier,2011:287-291.
[3]MAIA M,MOREIRA AP,GONCALVES AI,et al.Hemichorea-hemiballism as a manifestation of hyperglycemia[J].Cureus,2021,13(11):e19330-e19330.
[4]DEVLOO P,BREEN DP,MILOSEVIC L,et al.Successful pallidotomy for post-hyperglycemic hemichorea-ballism[J].Parkinsonism Relat Disord,2019,61:228-230.
[5]TAI CH,PAN MK,TSENG SH,et al.Hyperpolarization of the subthalamic nucleus alleviates hyperkinetic movement disorders[J].Sci Rep,2020,10(1):8278.
[6]SON BC,CHOI J g,KO HC.Globus pallidus internus deep brain stimulation for disabling diabetic hemiballism/ hemichorea[J].Case Rep Neurol Med,2017,2017:2165905.
[7]KHAN QA,BATOO LA,HAIDER MA,et al.A Rare Case of Hemichorea-Hemiballismus Due to Chronic Uncontrolled Hyperglycemia[J].Cureus,2020,12(10):e10861.
[8]NATH J,JAMBHEKAR K,RAO C,et al.Radiological and pathological changes in hemiballism-hemichorea with striatal hyperintensity[J].J Magn Reson Imaging,2006,23(4):564-568.
[9]RYAN C,AHLSKOG J E,SAVICA R.Hyperglycemic chorea/ballism ascertained over 15 years at a referral medical center[J].Parkinsonism Relat Disord.2018,4(48),97-100.
[10]ZGRA,ESENKA,KALEAASH,et al.Diabetic striatopathy in a patient with hemiballism[J].Emerg Radiol,2015,22(3):347-349.
[11]LAI PH,TIEN RD,CHANG MH,et al.Chorea-ballismus with nonketotic hyperglycemia in primary diabetes mellitus[J].AJNR Am J Neuroradiol,1996,17(6):1057-1064.
[12]ABE Y.Diabetic striatal disease:clinical presentation,neuroimagin g,and pathology[J].Intern Med,2009,43(13):1135-1141.
[13]COSENTINO C,TORRESL,NUEZ Y,et al.Hemichorea/hemiballism associated with hyperglycemia:report of 20 cases[J].Tremor Other Hyperkinet Mov(N Y),2016,6:402.
[14]LIN CJ,HUANG P.Delayed onset diabetic striatopathy:Hemichorea-hemiballism one month after a hyperglycemic episode[J].Am J Emerg Med,2017,35(7):1036.e3-1036.e4.
[15]TUNG CS,GUO YC,LAI CL,et al.Irreversible striatal neuroimaging abnormalities secondary to prolonged,uncontrolled diabetes mellitus in the setting of progressive focal neurological symptoms[J].Neurol Sci,2010,31(1):5760.
[16]CHO,H.S.,HON G,C.T.,CHAN,L.Hemichorea after hyperglycemia correction:A case report and a short review of hyperglycemia-related hemichorea at the euglycemic state[J].Med,2018,97(10):e0067.
[17]DAS L,PAL R,DUATTA P,et al.“Diabetic striatopathy”and ketoacidosis:Report of two cases and review of literature[J].Diabetes Res Clin Pract,2017,128:1-5.
[18]许静,许传礼,马严刚,等.酮症性偏侧舞蹈症二例并文献复习[J].中华神经科杂志,2021,54(8):822-825.
[19]ZHENG W,CHEN L,CHEN JH,et al.Hemichorea associated with nonketotic hyperglycemia:a case report and literature review[J].Front Neurol,2020,11:96.
[20]NAGAI J,YAMADA T,CAO X,et al.Cranial magnetic resonance imaging and angiography findings in a patient with hyperglycemic hemichoreahemiballism[J].J Clin Endocrinol Metab,2015,100(1):1112.
[21]CHIARA MOZZINI,RAFFAELE GHIRARDI,MAURO PAGANI.Diabetic Striatopathy:Case Report and Possible New Actors[J].Case Reports in Neurological Medicine,2022,12(19):1-3.
[22]DUBEY S,CHATTERJEE S,GHOSH R,et al.Acute onset movement disorders in diabetes mellitus:a clinical series of 59 patients[J].Eur J Neurol,2022,29(8):22412248.
[23]郝风华,崔冰.糖尿病纹状体病的影像表现特点分析[J].深圳中西医结合杂志,2019,29(4):2223.
[24]VALGAEREN B,VAN SNICK E,HENDRICKX J.Hyperdense basal ganglia on brain CT in nonketotic hyperglycemia associated with hemichorea[J].J Belg Soc Radiol,2022,106(1):30.
[25]CHANG X,HONG W,YU H,et al.Chorea associated with nonketotic hyperglycemia:a case report with atypical imaging changes[J].Medicine (Baltimore),2017,96(45):e8602.
[26]OHMORI H.Two cases of hemiballism-hemichorea with T1-weighted MR image hyperintensities[J].Intern Med,2005,44(12):1280-1285.
[27]LEE PC,KEK P C,SOH A W E.Hyperglycemia-associated Hemichorea-hemiballism:The Spectrum of Clinical Presentation[J].Intern Med,2015,54(15):1881-1884.
[28]张亚洁,樊红彬,胡朋,等.糖尿病纹状体病的临床特点(附1例报告)[J].临床神经病学杂志,2022,35(5):380-382.
[29]方药中,邓铁涛,李克光,等.实用中医内科学[M].上海:上海科学技术出版社,1994:424.
[30]成无己.伤寒明理论[M].北京:学苑出版社,2008:28.
[31]王肯堂.幼科证治准绳[M].北京:人民卫生出版社,2014:253.
[32]姬琳,王开达,王兴臣.应用白术厚朴汤从运气论治糖尿病性非酮症偏侧舞蹈症1例[J].中国医药科学,2020,10(24):254-256.
[33]陈岩,包银兰,庞博,等.林兰从风论治糖尿病性非酮症偏侧舞蹈症经验[J].中医杂志,2022,63(2):115-117.

备注/Memo

备注/Memo:
基金项目:上海市中医急诊能力提升专项(ZYJZNLTS1-3);上海市嘉定区中医重点学科(专科)项目(2020-JDZYYZDZK-03);上海市嘉定区名老中医工作室(流派工作室)建设项目(2021MLZYGZS-02);上海市嘉定区卫生健康委科研课题项目(2021-QN-05)
更新日期/Last Update: 2024-09-20