دورية أكاديمية
[Ictal alteration of 99mTc ECD SPECT imaging in a patient with secondary paroxysmal kinesigenic dyskinesia caused by hyperglycemia].
| العنوان: | [Ictal alteration of 99mTc ECD SPECT imaging in a patient with secondary paroxysmal kinesigenic dyskinesia caused by hyperglycemia]. |
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| المؤلفون: | Saiki M; Department of Neurology, Kanazawa Medical University, 1-1 Daigaku, Uchinada, Kahoku, Ishikawa 920-0293, Japan., Saiki S, Gondo Y, Murata KY, Sakai K, Hirose G |
| المصدر: | Rinsho shinkeigaku = Clinical neurology [Rinsho Shinkeigaku] 2005 Apr; Vol. 45 (4), pp. 312-6. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | Japanese |
| بيانات الدورية: | Publisher: Nihon Shinkei Gakkai Country of Publication: Japan NLM ID: 0417466 Publication Model: Print Cited Medium: Print ISSN: 0009-918X (Print) Linking ISSN: 0009918X NLM ISO Abbreviation: Rinsho Shinkeigaku Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: April 1963-: Tōkyō : Nihon Shinkei Gakkai Original Publication: Tōkyō : Nihon Rinshō Shinkei Gakkai, 1960- |
| مواضيع طبية MeSH: | Tomography, Emission-Computed, Single-Photon*, Basal Ganglia/*diagnostic imaging , Chorea/*diagnostic imaging , Cysteine/*analogs & derivatives , Hyperglycemia/*complications, Basal Ganglia/pathology ; Cerebrovascular Circulation ; Chorea/etiology ; Chorea/physiopathology ; Diabetes Complications/complications ; Electroencephalography ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Organotechnetium Compounds ; Radiopharmaceuticals |
| مستخلص: | We described a 61-year-old man with diabetes mellitus who presented with hyperglycemia related paroxysmal kinesigenic dyskinesia (PKD) with sudden development of paroxysmal unilateral involuntary movements (IMs) of his neck and the left extremities. Ictal 99mTc-ethylcysteinate dimer SPECT (ECD-SPECT) revealed a hyperperfusion over the contralateral frontal cortex and a hypoperfusion over the contralateral basal ganglia. Immediate correction of hyperglycemia after admission resulted in a marked improvement of IMs and a return to normal cerebral blood flow on interictal ECD-SPECT imaging. These findings suggest that dysfunction of the indirect pathway through the basal ganglia lead to an imbalance of the cortico-striato-thalamo-cortical circuit and may have contributed to the cause of PKD in this case. |
| المشرفين على المادة: | 0 (Organotechnetium Compounds) 0 (Radiopharmaceuticals) H25WJA31XE (technetium Tc 99m bicisate) K848JZ4886 (Cysteine) |
| تواريخ الأحداث: | Date Created: 20050526 Date Completed: 20050624 Latest Revision: 20161124 |
| رمز التحديث: | 20231215 |
| PMID: | 15912801 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 0009-918X |
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