Susceptibility Weighted Imaging Features of Nonketotic Hyperglycemia: Unusual Cause of Hemichorea‐Hemiballismus
ABSTRACT Nonketotic hyperglycemia has been described as a metabolic cause of Hemiballism‐hemichorea (HB‐HC), especially in elderly patients with poorly controlled diabetes. Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1‐weighted images. We present convent...
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Veröffentlicht in: | Journal of neuroimaging 2015-03, Vol.25 (2), p.319-324 |
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creator | Atay, Musa Yetis, Huseyin Kurtcan, Serpil Aralasmak, Ayse Alkan, Alpay |
description | ABSTRACT
Nonketotic hyperglycemia has been described as a metabolic cause of Hemiballism‐hemichorea (HB‐HC), especially in elderly patients with poorly controlled diabetes. Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1‐weighted images. We present conventional MRI with diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI) features of two cases with nonketotic hyperglycemia. T1 hyperintensity without diffusion restriction on DWI and minimal putaminal hypointensity without phase shift on SWI were compatible with either pathological mineralization or petechial microhemorrhage or protein denaturation. In the type 2 diabetic patients with HC‐HB, conventional MRI together with SWI and DWI will guide to clinician to plan treatment approach. |
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Nonketotic hyperglycemia has been described as a metabolic cause of Hemiballism‐hemichorea (HB‐HC), especially in elderly patients with poorly controlled diabetes. Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1‐weighted images. We present conventional MRI with diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI) features of two cases with nonketotic hyperglycemia. T1 hyperintensity without diffusion restriction on DWI and minimal putaminal hypointensity without phase shift on SWI were compatible with either pathological mineralization or petechial microhemorrhage or protein denaturation. In the type 2 diabetic patients with HC‐HB, conventional MRI together with SWI and DWI will guide to clinician to plan treatment approach.</description><identifier>ISSN: 1051-2284</identifier><identifier>EISSN: 1552-6569</identifier><identifier>DOI: 10.1111/jon.12084</identifier><identifier>PMID: 24612187</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Biopolymer denaturation ; Brain - pathology ; Chorea - diagnosis ; Chorea - etiology ; Diabetes mellitus ; Diffusion Magnetic Resonance Imaging - methods ; Dyskinesias - diagnosis ; Dyskinesias - etiology ; Female ; Geriatrics ; hemiballism‐hemichorea ; Humans ; Hyperglycemia ; Hyperglycinemia, Nonketotic - complications ; Hyperglycinemia, Nonketotic - pathology ; Magnetic resonance imaging ; Medical research ; Mineralization ; Neuroimaging ; Nonketotic hyperglycemia ; Older people ; Patients ; Protein denaturation ; Putamen ; susceptibility weighted imaging</subject><ispartof>Journal of neuroimaging, 2015-03, Vol.25 (2), p.319-324</ispartof><rights>Copyright © 2014 by the American Society of Neuroimaging</rights><rights>Copyright © 2014 by the American Society of Neuroimaging.</rights><rights>Copyright © 2015 by the American Society of Neuroimaging</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4844-6cbfceff7aebd1657ab290dc587a1468b6c660141f95d55d14bae3e9948ec40b3</citedby><cites>FETCH-LOGICAL-c4844-6cbfceff7aebd1657ab290dc587a1468b6c660141f95d55d14bae3e9948ec40b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjon.12084$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24612187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Atay, Musa</creatorcontrib><creatorcontrib>Yetis, Huseyin</creatorcontrib><creatorcontrib>Kurtcan, Serpil</creatorcontrib><creatorcontrib>Aralasmak, Ayse</creatorcontrib><creatorcontrib>Alkan, Alpay</creatorcontrib><title>Susceptibility Weighted Imaging Features of Nonketotic Hyperglycemia: Unusual Cause of Hemichorea‐Hemiballismus</title><title>Journal of neuroimaging</title><addtitle>J Neuroimaging</addtitle><description>ABSTRACT
Nonketotic hyperglycemia has been described as a metabolic cause of Hemiballism‐hemichorea (HB‐HC), especially in elderly patients with poorly controlled diabetes. Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1‐weighted images. We present conventional MRI with diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI) features of two cases with nonketotic hyperglycemia. T1 hyperintensity without diffusion restriction on DWI and minimal putaminal hypointensity without phase shift on SWI were compatible with either pathological mineralization or petechial microhemorrhage or protein denaturation. In the type 2 diabetic patients with HC‐HB, conventional MRI together with SWI and DWI will guide to clinician to plan treatment approach.</description><subject>Aged</subject><subject>Biopolymer denaturation</subject><subject>Brain - pathology</subject><subject>Chorea - diagnosis</subject><subject>Chorea - etiology</subject><subject>Diabetes mellitus</subject><subject>Diffusion Magnetic Resonance Imaging - methods</subject><subject>Dyskinesias - diagnosis</subject><subject>Dyskinesias - etiology</subject><subject>Female</subject><subject>Geriatrics</subject><subject>hemiballism‐hemichorea</subject><subject>Humans</subject><subject>Hyperglycemia</subject><subject>Hyperglycinemia, Nonketotic - complications</subject><subject>Hyperglycinemia, Nonketotic - pathology</subject><subject>Magnetic resonance imaging</subject><subject>Medical research</subject><subject>Mineralization</subject><subject>Neuroimaging</subject><subject>Nonketotic hyperglycemia</subject><subject>Older people</subject><subject>Patients</subject><subject>Protein denaturation</subject><subject>Putamen</subject><subject>susceptibility weighted imaging</subject><issn>1051-2284</issn><issn>1552-6569</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0ctu1DAUBmALUdELLHgBFIkNXaS1Hdtx2FWjlimq2gVULCPbOZl6cOKpHQtl10fgGXkSPEzpAgmEN77o8390dBB6TfAJyet07ccTQrFkz9AB4ZyWgovmeT5jTkpKJdtHhzGuMaaE0eoF2qdMEEpkfYDuP6VoYDNZbZ2d5uIL2NXdBF1xOaiVHVfFBagpBYiF74trP36FyU_WFMt5A2HlZgODVe-L2zHFpFyxUCnCli7zu7nzAdSPh-_bi1bO2Tik-BLt9cpFePW4H6Hbi_PPi2V5dfPhcnF2VRomGSuF0b2Bvq8V6I4IXitNG9wZLmtFmJBaGCEwYaRveMd5R5hWUEHTMAmGYV0doXe73E3w9wni1A42t-qcGsGn2BIhJOVYUPY_lIpKsrrO9O0fdO1TGHMjLWkk5xLXFf6nEoLwqsHVtuzxTpngYwzQt5tgBxXmluB2O9j8a2x_DTbbN4-JSQ_QPcnfk8zgdAe-WQfz35PajzfXu8ifVC-tqA</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Atay, Musa</creator><creator>Yetis, Huseyin</creator><creator>Kurtcan, Serpil</creator><creator>Aralasmak, Ayse</creator><creator>Alkan, Alpay</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>7TK</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Susceptibility Weighted Imaging Features of Nonketotic Hyperglycemia: Unusual Cause of Hemichorea‐Hemiballismus</title><author>Atay, Musa ; Yetis, Huseyin ; Kurtcan, Serpil ; Aralasmak, Ayse ; Alkan, Alpay</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4844-6cbfceff7aebd1657ab290dc587a1468b6c660141f95d55d14bae3e9948ec40b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Biopolymer denaturation</topic><topic>Brain - pathology</topic><topic>Chorea - diagnosis</topic><topic>Chorea - etiology</topic><topic>Diabetes mellitus</topic><topic>Diffusion Magnetic Resonance Imaging - methods</topic><topic>Dyskinesias - diagnosis</topic><topic>Dyskinesias - etiology</topic><topic>Female</topic><topic>Geriatrics</topic><topic>hemiballism‐hemichorea</topic><topic>Humans</topic><topic>Hyperglycemia</topic><topic>Hyperglycinemia, Nonketotic - complications</topic><topic>Hyperglycinemia, Nonketotic - pathology</topic><topic>Magnetic resonance imaging</topic><topic>Medical research</topic><topic>Mineralization</topic><topic>Neuroimaging</topic><topic>Nonketotic hyperglycemia</topic><topic>Older people</topic><topic>Patients</topic><topic>Protein denaturation</topic><topic>Putamen</topic><topic>susceptibility weighted imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Atay, Musa</creatorcontrib><creatorcontrib>Yetis, Huseyin</creatorcontrib><creatorcontrib>Kurtcan, Serpil</creatorcontrib><creatorcontrib>Aralasmak, Ayse</creatorcontrib><creatorcontrib>Alkan, Alpay</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of neuroimaging</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Atay, Musa</au><au>Yetis, Huseyin</au><au>Kurtcan, Serpil</au><au>Aralasmak, Ayse</au><au>Alkan, Alpay</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Susceptibility Weighted Imaging Features of Nonketotic Hyperglycemia: Unusual Cause of Hemichorea‐Hemiballismus</atitle><jtitle>Journal of neuroimaging</jtitle><addtitle>J Neuroimaging</addtitle><date>2015-03</date><risdate>2015</risdate><volume>25</volume><issue>2</issue><spage>319</spage><epage>324</epage><pages>319-324</pages><issn>1051-2284</issn><eissn>1552-6569</eissn><abstract>ABSTRACT
Nonketotic hyperglycemia has been described as a metabolic cause of Hemiballism‐hemichorea (HB‐HC), especially in elderly patients with poorly controlled diabetes. Pathophysiology is not known yet. MRI features tend to be hyperintense in the putamen on T1‐weighted images. We present conventional MRI with diffusion weighted imaging (DWI) and susceptibility weighted imaging (SWI) features of two cases with nonketotic hyperglycemia. T1 hyperintensity without diffusion restriction on DWI and minimal putaminal hypointensity without phase shift on SWI were compatible with either pathological mineralization or petechial microhemorrhage or protein denaturation. In the type 2 diabetic patients with HC‐HB, conventional MRI together with SWI and DWI will guide to clinician to plan treatment approach.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24612187</pmid><doi>10.1111/jon.12084</doi><tpages>6</tpages></addata></record> |
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subjects | Aged Biopolymer denaturation Brain - pathology Chorea - diagnosis Chorea - etiology Diabetes mellitus Diffusion Magnetic Resonance Imaging - methods Dyskinesias - diagnosis Dyskinesias - etiology Female Geriatrics hemiballism‐hemichorea Humans Hyperglycemia Hyperglycinemia, Nonketotic - complications Hyperglycinemia, Nonketotic - pathology Magnetic resonance imaging Medical research Mineralization Neuroimaging Nonketotic hyperglycemia Older people Patients Protein denaturation Putamen susceptibility weighted imaging |
title | Susceptibility Weighted Imaging Features of Nonketotic Hyperglycemia: Unusual Cause of Hemichorea‐Hemiballismus |
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