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Case Reports
. 2010 Jul;75(3):61-4.

Lesions in basal ganglia in a patient with involuntary movements as a first sign of diabetes - case report and review of the literature

Monika Bekiesińska-Figatowska  1 , Anna Romaniuk-Doroszewska, Marta Banaszek, Arleta Kuczyńska-Zardzewiały
Affiliations
Case Reports

Lesions in basal ganglia in a patient with involuntary movements as a first sign of diabetes - case report and review of the literature

Monika Bekiesińska-Figatowska et al. Pol J Radiol. 2010 Jul.

Abstract

We present a case of unilateral hyperdensity of the lentiform and caudate nucleus on CT with hyperintesity on T1-weighted images on MRI in a 71-year-old woman with hemichorea-hemiballism and recently diagnosed diabetes.

Keywords: brain; computed tomography (CT); hemichorea-hemiballism; magnetic resonance imaging (MRI).

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Figures

Figure 1.
Figure 1.
CT on the second day of symptoms. Hyperdense lentiform and caudate nucleus of the left hemisphere.
Figure 2.
Figure 2.
The MRI performed 4 days later. SE/T1 – Hyperintense signal from the lentiform nucleus and a less clear but also hyperintense caudate nucleus.
Figure 3.
Figure 3.
Discretely hypointense basal ganglia on the left side, within the same layer as in Figure 2. (A) FSE/T2-. (B) T2flair. (C) DWI. (D) GRE/T2*-.
See this image and copyright information in PMC

References

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    1. Felicio AC, Chang CV, Godeiro-Junior C, et al. Hemichoreahemiballism as the first presentation of type 2 diabetes mellitus. Arq Neuropsiquiatr. 2008;66(2A):249–50. - PubMed
    1. Bekiesińska-Figatowska M, Walecki J. Zmiany hiperintensywne w mózgowiu w obrazach T1-zależnych badania rezonansu magnetycznego – przyczyny i możliwości różnicowania. Pol Przegl Radiol. 2001;66(2):15–18.
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