Chorea due to diabetic hyperglycemia and uremia: distinct clinical and imaging features.
Identifieur interne : 000298 ( Main/Merge ); précédent : 000297; suivant : 000299Chorea due to diabetic hyperglycemia and uremia: distinct clinical and imaging features.
Auteurs : Young Jin Kim [Corée du Sud] ; Sang Joon Kim ; Juyeon Kim ; Mi-Jung Kim ; Ki-Ju Kim ; Hyukjun Yoon ; Sung Reul Kim ; Sun Ju ChungSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2015.
Abstract
This study was undertaken to describe the clinical and imaging characteristics of patients with chorea associated with nonketotic hyperglycemia (C-NKH) in comparison with patients with chorea associated with uremia (C-URE). We retrospectively analyzed the clinical data of consecutive 10 C-NKH and five C-URE patients who were treated between January 1, 2001 and January 31, 2013. Women were more frequently affected by C-NKH (70% vs. 30%) and C-URE (80% vs. 20%) compared with men. The C-NKH patients demonstrated T1-hyperintense and inhomogeneous lesions in the basal ganglia, whereas C-URE patients demonstrated T2-hyperintense and homogeneous lesions in the basal ganglia. The mean time for chorea resolution after treatment was significantly shorter in C-NKH patients than in C-URE patients (4.4 ± 2.6 d vs. 73.8 ± 14.2 d, respectively; P = 0.005). The clinical and imaging features are remarkably different between C-NKH and C-URE patients, suggesting distinct pathogenic mechanisms.
DOI: 10.1002/mds.26148
PubMed: 25649292
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<author><name sortKey="Kim, Young Jin" sort="Kim, Young Jin" uniqKey="Kim Y" first="Young Jin" last="Kim">Young Jin Kim</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.</nlm:affiliation>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul</wicri:regionArea>
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<author><name sortKey="Kim, Sang Joon" sort="Kim, Sang Joon" uniqKey="Kim S" first="Sang Joon" last="Kim">Sang Joon Kim</name>
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<author><name sortKey="Kim, Juyeon" sort="Kim, Juyeon" uniqKey="Kim J" first="Juyeon" last="Kim">Juyeon Kim</name>
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<author><name sortKey="Kim, Mi Jung" sort="Kim, Mi Jung" uniqKey="Kim M" first="Mi-Jung" last="Kim">Mi-Jung Kim</name>
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<author><name sortKey="Kim, Ki Ju" sort="Kim, Ki Ju" uniqKey="Kim K" first="Ki-Ju" last="Kim">Ki-Ju Kim</name>
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<author><name sortKey="Yoon, Hyukjun" sort="Yoon, Hyukjun" uniqKey="Yoon H" first="Hyukjun" last="Yoon">Hyukjun Yoon</name>
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<author><name sortKey="Kim, Sung Reul" sort="Kim, Sung Reul" uniqKey="Kim S" first="Sung Reul" last="Kim">Sung Reul Kim</name>
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<author><name sortKey="Kim, Sung Reul" sort="Kim, Sung Reul" uniqKey="Kim S" first="Sung Reul" last="Kim">Sung Reul Kim</name>
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<front><div type="abstract" xml:lang="en">This study was undertaken to describe the clinical and imaging characteristics of patients with chorea associated with nonketotic hyperglycemia (C-NKH) in comparison with patients with chorea associated with uremia (C-URE). We retrospectively analyzed the clinical data of consecutive 10 C-NKH and five C-URE patients who were treated between January 1, 2001 and January 31, 2013. Women were more frequently affected by C-NKH (70% vs. 30%) and C-URE (80% vs. 20%) compared with men. The C-NKH patients demonstrated T1-hyperintense and inhomogeneous lesions in the basal ganglia, whereas C-URE patients demonstrated T2-hyperintense and homogeneous lesions in the basal ganglia. The mean time for chorea resolution after treatment was significantly shorter in C-NKH patients than in C-URE patients (4.4 ± 2.6 d vs. 73.8 ± 14.2 d, respectively; P = 0.005). The clinical and imaging features are remarkably different between C-NKH and C-URE patients, suggesting distinct pathogenic mechanisms.</div>
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