一例与非酮症高血糖相关的血凝:一个新的磁共振波谱(MRS)发现和可能的未来意义。

IF 1.3 4区医学 Q4 PHYSIOLOGY

Clinical Physiology and Functional Imaging Pub Date : 2023-11-14 DOI:10.1111/cpf.12865

Assunta Trinchillo, Flavio Barchetti, Gabriella De Joanna, Marcello Esposito, Giovanni Piccirillo, Stefania Miniello

{"title":"一例与非酮症高血糖相关的血凝:一个新的磁共振波谱(MRS)发现和可能的未来意义。","authors":"Assunta Trinchillo, Flavio Barchetti, Gabriella De Joanna, Marcello Esposito, Giovanni Piccirillo, Stefania Miniello","doi":"10.1111/cpf.12865","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Diabetic Striatopathy (DS) is a rare complication of a poor-controlled Diabetes Mellitus consisting of sudden onset of movement disorders. To date, there is still poor knowledge about the pathogenesis.</p>\n </section>\n \n <section>\n \n <h3> Case</h3>\n \n <p>We describe a 79 year old men affected by sudden onset hemichoreic movements whose cause was a non-ketotic hyperglycaemia diagnosed despite the normal blood glucose levels thanks to brain CT and magnetic resonance imaging. Then, we introduce a new magnetic resonance spectroscopy (MRS) finding never described until today which allowed us to produce a new pathogenetic theory of a phenomenon still without definitive explanations.</p>\n </section>\n \n <section>\n \n <h3> Literature Review</h3>\n \n <p>We performed a review of DS cases using the Medline database and we extracted main data regarding imaging findings.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Thanks to our MRS we show new imaging findings never described until today, with a new pathogenetic explanation, since all the causative hypotheses produced during the past years have never found evidence.</p>\n </section>\n </div>","PeriodicalId":10504,"journal":{"name":"Clinical Physiology and Functional Imaging","volume":null,"pages":null},"PeriodicalIF":1.3000,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A case of hemichorea associated with nonketotic hyperglycaemia: A new magnetic resonance spectroscopy (MRS) finding and possible future implications\",\"authors\":\"Assunta Trinchillo, Flavio Barchetti, Gabriella De Joanna, Marcello Esposito, Giovanni Piccirillo, Stefania Miniello\",\"doi\":\"10.1111/cpf.12865\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Diabetic Striatopathy (DS) is a rare complication of a poor-controlled Diabetes Mellitus consisting of sudden onset of movement disorders. To date, there is still poor knowledge about the pathogenesis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Case</h3>\\n \\n <p>We describe a 79 year old men affected by sudden onset hemichoreic movements whose cause was a non-ketotic hyperglycaemia diagnosed despite the normal blood glucose levels thanks to brain CT and magnetic resonance imaging. Then, we introduce a new magnetic resonance spectroscopy (MRS) finding never described until today which allowed us to produce a new pathogenetic theory of a phenomenon still without definitive explanations.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Literature Review</h3>\\n \\n <p>We performed a review of DS cases using the Medline database and we extracted main data regarding imaging findings.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Thanks to our MRS we show new imaging findings never described until today, with a new pathogenetic explanation, since all the causative hypotheses produced during the past years have never found evidence.</p>\\n </section>\\n </div>\",\"PeriodicalId\":10504,\"journal\":{\"name\":\"Clinical Physiology and Functional Imaging\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2023-11-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Physiology and Functional Imaging\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/cpf.12865\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"PHYSIOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Physiology and Functional Imaging","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/cpf.12865","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PHYSIOLOGY","Score":null,"Total":0}

引用次数: 0

摘要

背景:糖尿病纹状体病(DS)是控制不良的糖尿病中一种罕见的并发症，包括突然发作的运动障碍。迄今为止，对其发病机制仍知之甚少。病例:我们描述了一位79岁的男性患者，他的病因是非酮症高血糖，尽管脑部CT和磁共振成像显示血糖水平正常。然后，我们引入了一种新的磁共振波谱(MRS)发现，直到今天才被描述，这使我们能够对一种仍然没有明确解释的现象产生新的发病理论。文献回顾:我们使用Medline数据库对退行性椎体滑移病例进行了回顾，并提取了有关影像学表现的主要数据。结论:多亏了我们的MRS，我们展示了新的影像学发现，直到今天才有了新的病理解释，因为过去几年产生的所有病因假设都没有找到证据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

A case of hemichorea associated with nonketotic hyperglycaemia: A new magnetic resonance spectroscopy (MRS) finding and possible future implications

Background

Diabetic Striatopathy (DS) is a rare complication of a poor-controlled Diabetes Mellitus consisting of sudden onset of movement disorders. To date, there is still poor knowledge about the pathogenesis.

Case

We describe a 79 year old men affected by sudden onset hemichoreic movements whose cause was a non-ketotic hyperglycaemia diagnosed despite the normal blood glucose levels thanks to brain CT and magnetic resonance imaging. Then, we introduce a new magnetic resonance spectroscopy (MRS) finding never described until today which allowed us to produce a new pathogenetic theory of a phenomenon still without definitive explanations.

Literature Review

We performed a review of DS cases using the Medline database and we extracted main data regarding imaging findings.

Conclusions

Thanks to our MRS we show new imaging findings never described until today, with a new pathogenetic explanation, since all the causative hypotheses produced during the past years have never found evidence.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Clinical Physiology and Functional Imaging 医学-生理学

CiteScore

3.40

自引率

5.60%

发文量

审稿时长

6-12 weeks

期刊介绍： Clinical Physiology and Functional Imaging publishes reports on clinical and experimental research pertinent to human physiology in health and disease. The scope of the Journal is very broad, covering all aspects of the regulatory system in the cardiovascular, renal and pulmonary systems with special emphasis on methodological aspects. The focus for the journal is, however, work that has potential clinical relevance. The Journal also features review articles on recent front-line research within these fields of interest. Covered by the major abstracting services including Current Contents and Science Citation Index, Clinical Physiology and Functional Imaging plays an important role in providing effective and productive communication among clinical physiologists world-wide.