(精编)【医学课件】 Diabetic Striatopathy CT and MR Imaging Appearance of a Rare Movement Disorder Associated with Uncontrolled Diabetes Mellitus教学课件.pptVIP

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2018-03-21 发布于天津
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(精编)【医学课件】 Diabetic Striatopathy CT and MR Imaging Appearance of a Rare Movement Disorder Associated with Uncontrolled Diabetes Mellitus教学课件.ppt

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“ ” Diabetic Striatopathy: CT and MR Imaging Appearance of a Rare Movement Disorder Associated with Uncontrolled Diabetes Mellitus S Lin MD, J Dorr MD, R Pandit MD Santa Clara Valley Medical Center, San Jose, CA Presentation # eEdE-02 Disclosure The authors have no actual or potential conflicts of interest in relation to this presentation Goals and Objectives Describe and demonstrate the specific CT and MR imaging characteristics of diabetic striatopathy Review the clinical presentation of hemichorea-hemiballism in diabetic striatopathy Discuss the differential for the imaging features of diabetic striatopathy Background Diabetic striatopathy is the term used to describe the clinical presentation of hemichorea-hemiballism in non-ketotic hyperglycemia with characteristic imaging findings in the basal ganglia This entity is uncommonly seen, but has distinctive imaging and clinical features In this presentation, we review these features to facilitate recognition of this entity Imaging Location: Imaging abnormalities occur in the basal ganglia with sparing of the internal capsule Most commonly in the putamen and caudate When symptoms are bilateral, imaging findings are bilateral When symptoms are unilateral, imaging findings are also unilateral and contralateral to the symptomatic side Imaging findings on CT: Homogeneous hyperattenuation in the basal ganglia Imaging findings on MRI: Homogeneous T1 hyperintensity in the basal ganglia Imaging abnormalities and clinical symptoms generally resolve with better glycemic control CT: Case 1 History: 56 yo female with history of poorly controlled diabetes presented to the ED with worsening choreiform involuntary movements of the left upper and lower extremity for 3 weeks HgbA1c was 13.7 Non-contrast axial CT demonstrates asymmetric hyperattenuation in the right lentiform nucleus (arrow) MRI: Case 1 Axial T1-weighted pre-contrast MRI in the same patient demonstrates homogeneous T1 hyperintensity in the right lentiform nucl