hemicoréia-hemibalismo associado a hemorragia em gânglios da base em diabete mélito descompensado relato de dois casos hemichorea-hemiballism secondary to basal ganglia hemorrhage in complicated diabetes mellitus: report of two cases
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ID: 249415
1996
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Abstract
Os autores apresentam dois casos de hemicoréia-hemibalismo de início súbito em pacientes portadoras de diabete mélito descompensado, cujas tomografias computadorizadas de crânio revelaram hemorragia difusa nos gânglios da base contralaterais aos movimentos anormais. A descrição de caso em paciente jovem e portadora de diabete mélito insulino-dependente é inédita. Os autores discutem os mecanismos fisiopatológicos que tentam explicar a relação entre a hiperglicemia não-cetótica e o quadro de hemicoréia-hemibalismo associado a lesão estrutural ao nível de núcleos da base.
Two cases of acute onset hemichorea-hemiballism in female patients with complicated diabetes mellitus are described. Computerized tomography showed diffuse basal ganglia hemorrhage contralateral to the abnormal movements. Occurrence of such a presentation in a teenager with insulin-dependent diabetes mellitus is unique. The relationships between non-ketotic hyperglycemia, structural damage in the basal ganglia and movement disorders are reviewed.
Two cases of acute onset hemichorea-hemiballism in female patients with complicated diabetes mellitus are described. Computerized tomography showed diffuse basal ganglia hemorrhage contralateral to the abnormal movements. Occurrence of such a presentation in a teenager with insulin-dependent diabetes mellitus is unique. The relationships between non-ketotic hyperglycemia, structural damage in the basal ganglia and movement disorders are reviewed.
| Reference Key |
cava1996arquivoshemicoria-hemibalismo
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|---|---|
| Authors | ;Paolo A. Di Remigio Cava;Pedro André Kowacs;Lineu César Werneck |
| Journal | communications in computer and information science |
| Year | 1996 |
| DOI |
10.1590/S0004-282X1996000300016
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| URL | |
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