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
Hauptverfasser: Atay, Musa, Yetis, Huseyin, Kurtcan, Serpil, Aralasmak, Ayse, Alkan, Alpay
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container_issue 2
container_start_page 319
container_title Journal of neuroimaging
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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.
doi_str_mv 10.1111/jon.12084
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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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