Persistent chorea triggered by hyperglycemic crisis in diabetics
Identifieur interne : 004725 ( Main/Exploration ); précédent : 004724; suivant : 004726Persistent chorea triggered by hyperglycemic crisis in diabetics
Auteurs : J. Eric Ahlskog [États-Unis] ; Hiroshi Nishino [Japon] ; V. G. H. Evidente [États-Unis] ; John W. Tulloch [États-Unis] ; Glenn S. Forbes [États-Unis] ; John N. Caviness [États-Unis] ; Katrina A. Gwinn-Hardy [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2001-09.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Acute Disease, Adult, Aged, Aged, 80 and over, Brain (pathology), Case study, Chorea, Chorea (etiology), Chorea (pathology), Chorea (physiopathology), Complication, Diabetes Complications, Diabetes Mellitus (pathology), Diabetes mellitus, Evolution, Female, Humans, Hyperglycemia, Hyperglycemia (complications), Hyperglycemia (etiology), Hyperglycemia (pathology), Magnetic Resonance Imaging, Neostriatum (pathology), Videotape Recording, chorea, diabetes mellitus, dyskinesia, hyperglycemia, magnetic resonance imaging.
- MESH :
- complications : Hyperglycemia.
- etiology : Chorea, Hyperglycemia.
- pathology : Brain, Chorea, Diabetes Mellitus, Hyperglycemia, Neostriatum.
- physiopathology : Chorea.
- Acute Disease, Adult, Aged, Aged, 80 and over, Diabetes Complications, Female, Humans, Magnetic Resonance Imaging, Videotape Recording.
Abstract
Five female patients developed chorea concurrent with, or shortly after a hyperglycemic episode (admission glucose values 500–1,000 mg/dL). In four of these five patients, there was no prior history of diabetes mellitus. The chorea continued despite correction of blood glucose and persisted to the time of last follow‐up, 6 months to 5 years later. The chorea developed subacutely over 2 days to 1 month and was generalized in one, unilateral in three, and involved right > left lower extremity in the other; the severity initially reached ballistic proportions in two. Associated clinical features were nil in four of these patients, but cognitive impairment and personality change occurred in one. The histories and laboratory studies identified no predisposing factors other than the hyperglycemia. The chorea was sufficiently troublesome to require administration of neuroleptic medication in all five cases. Four of the five cases had high signal intensity within basal ganglia on T1‐weighted magnetic resonance (MR) imaging, as has previously been described; however, this was not seen in one case (who had the most severe clinical condition). Most previously described cases have involved a reversible clinical syndrome, in contrast to our patients. The pathogenic mechanisms remain uncertain. © 2001 Movement Disorder Society.
Url:
DOI: 10.1002/mds.1171
Affiliations:
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Le document en format XML
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Evidente</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mayo Clinic, Scottsdale, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Tulloch, John W" sort="Tulloch, John W" uniqKey="Tulloch J" first="John W." last="Tulloch">John W. Tulloch</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Regions Hospital, St. Paul, Minnesota</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Forbes, Glenn S" sort="Forbes, Glenn S" uniqKey="Forbes G" first="Glenn S." last="Forbes">Glenn S. 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Gwinn-Hardy</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Mayo Clinic, Scottsdale, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2001-09">2001-09</date><biblScope unit="vol">16</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="890">890</biblScope><biblScope unit="page" to="898">898</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">6AD06DD611143683C24702C0084939CC489F68BE</idno><idno type="DOI">10.1002/mds.1171</idno><idno type="ArticleID">MDS1171</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Brain (pathology)</term><term>Case study</term><term>Chorea</term><term>Chorea (etiology)</term><term>Chorea (pathology)</term><term>Chorea (physiopathology)</term><term>Complication</term><term>Diabetes Complications</term><term>Diabetes Mellitus (pathology)</term><term>Diabetes mellitus</term><term>Evolution</term><term>Female</term><term>Humans</term><term>Hyperglycemia</term><term>Hyperglycemia (complications)</term><term>Hyperglycemia (etiology)</term><term>Hyperglycemia (pathology)</term><term>Magnetic Resonance Imaging</term><term>Neostriatum (pathology)</term><term>Videotape Recording</term><term>chorea</term><term>diabetes mellitus</term><term>dyskinesia</term><term>hyperglycemia</term><term>magnetic resonance imaging</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Hyperglycemia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Chorea</term><term>Hyperglycemia</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Chorea</term><term>Diabetes Mellitus</term><term>Hyperglycemia</term><term>Neostriatum</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Chorea</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Diabetes Complications</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Videotape Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte</term><term>Chorée syndrome</term><term>Complication</term><term>Diabète</term><term>Etude cas</term><term>Evolution</term><term>Femelle</term><term>Hyperglycémie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Adulte</term><term>Diabète</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Five female patients developed chorea concurrent with, or shortly after a hyperglycemic episode (admission glucose values 500–1,000 mg/dL). In four of these five patients, there was no prior history of diabetes mellitus. The chorea continued despite correction of blood glucose and persisted to the time of last follow‐up, 6 months to 5 years later. The chorea developed subacutely over 2 days to 1 month and was generalized in one, unilateral in three, and involved right > left lower extremity in the other; the severity initially reached ballistic proportions in two. Associated clinical features were nil in four of these patients, but cognitive impairment and personality change occurred in one. The histories and laboratory studies identified no predisposing factors other than the hyperglycemia. The chorea was sufficiently troublesome to require administration of neuroleptic medication in all five cases. Four of the five cases had high signal intensity within basal ganglia on T1‐weighted magnetic resonance (MR) imaging, as has previously been described; however, this was not seen in one case (who had the most severe clinical condition). Most previously described cases have involved a reversible clinical syndrome, in contrast to our patients. The pathogenic mechanisms remain uncertain. © 2001 Movement Disorder Society.</div></front></TEI><affiliations><list><country><li>Japon</li><li>États-Unis</li></country><region><li>Arizona</li><li>Minnesota</li></region></list><tree><country name="États-Unis"><region name="Minnesota"><name sortKey="Ahlskog, J Eric" sort="Ahlskog, J Eric" uniqKey="Ahlskog J" first="J. Eric" last="Ahlskog">J. Eric Ahlskog</name></region><name sortKey="Caviness, John N" sort="Caviness, John N" uniqKey="Caviness J" first="John N." last="Caviness">John N. Caviness</name><name sortKey="Evidente, V G H" sort="Evidente, V G H" uniqKey="Evidente V" first="V. G. H." last="Evidente">V. G. H. Evidente</name><name sortKey="Forbes, Glenn S" sort="Forbes, Glenn S" uniqKey="Forbes G" first="Glenn S." last="Forbes">Glenn S. Forbes</name><name sortKey="Gwinn Ardy, Katrina A" sort="Gwinn Ardy, Katrina A" uniqKey="Gwinn Ardy K" first="Katrina A." last="Gwinn-Hardy">Katrina A. Gwinn-Hardy</name><name sortKey="Tulloch, John W" sort="Tulloch, John W" uniqKey="Tulloch J" first="John W." last="Tulloch">John W. Tulloch</name></country><country name="Japon"><noRegion><name sortKey="Nishino, Hiroshi" sort="Nishino, Hiroshi" uniqKey="Nishino H" first="Hiroshi" last="Nishino">Hiroshi Nishino</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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