[Hemichorea with Contralateral High Signal Intensity Putaminal Lesion on T1-Weighted Images in Non-Ketotic Hyperglycemia].

Authors :: Achilles EI
Maus V
Fink GR
Maintz D
van Eimeren T
Mpotsaris A
Source :: Fortschritte der Neurologie-Psychiatrie [Fortschr Neurol Psychiatr] 2016 Apr; Vol. 84 (4), pp. 222-5. Date of Electronic Publication: 2016 Apr 21.
Publication Year :: 2016
Abstract: A 64-year-old diabetic female patient presented with involuntary unilateral hyperkinetic movements of the left limbs. Cranial MRI showed a contralateral high signal intensity putaminal lesion on T1-weighted images without any signal changes in the T2-weighted images. This finding is characteristic for hemichorea-hemiballism associated with insufficiently treated diabetes mellitus. Additionally, proton MR spectroscopy was performed and revealed a decreased N-acetylaspartate/creatine and N-acetylaspartate/choline ratio, indicating neuronal damage of the contralateral putamen.<br /> (© Georg Thieme Verlag KG Stuttgart · New York.)

Full Text Access

Tools