É relatado o caso de paciente do sexo masculino de 19 anos de idade, com quadro progressivo de distúrbio de comportamento e de postura distônica, com início nas extremidades do hemicorpo direito há 5 anos. Ao exame apresenta síndrome extrapiramidal e piramidal, sendo o diagnóstico de doença de Hallervorden-Spatz confirmado pela ressonância nuclear magnética do crânio (RM). O objetivo deste registro é ressaltar a importância da RM no estudo de doenças degenerativas do sistema nervoso.
RESUMO -Apresentação de caso de paciente diabético de longa data, com crises parciais motoras desencadeadas por movimentação' passiva do membro superior direito. Este é o objetivo do relato, pois trata-se de tipo raro de crise, quando comparado às crises parciais espontâneas em pacientes diabéticos. Freqüentemente, crises parciais são manifestação inicial de diabetes mellitus (cerca de 19% dos casos registrados). Neste caso, como nos da literatura, o controle das crises foi obtido com a normalização dos níveis séricos de glicose. São discutidos aspectos da provável fisiopatogenia. Focal crisis originating from movement in a hyperglycemic nonketotic patient.SUMMARY -Case report of a long term diabetic patient with partial motor crises originating from passive movement of the right arm. This is a rare type of crisis when compared to spontaneous partial crisis in diabetic patients. Partial crises are often the initial manifestation of diabetes mellitus (about 19% of the cases reported). As in those cases registered in the literature, crisis control in this case was obtained by normalization of glycose serum levels. Possible mechanisms involved in the pathogenesis are discussed. Focal crisis originating from movement in a hyperglycemic nonketotic patient.SUMMARY -Case report of a long term diabetic patient with partial motor crises originating from passive movement of the right arm. This is a rare type of crisis when compared to spontaneous partial crisis in diabetic patients. Partial crises are often the initial manifestation of diabetes mellitus (about 19% of the cases reported). As in those cases registered in the literature, crisis control in this case was obtained by normalization of glycose serum levels. Possible mechanisms involved in the pathogenesis are discussed.A epilepsia parcial contínua é complicação bem aceita de hiperglicemia não cetótica, ocorrendo em cerca de 19% dos casos descritos em levantamentos de literatura
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.