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患者女,70岁,因突发左侧肢体舞蹈样动作2周入院。2周前在无明显诱因下突发左上肢、左下肢不自主舞动,影响行走,清醒时出现,睡眠时消失。无意识障碍,无发热、头痛、恶心、呕吐,无肢体瘫痪及二便障碍。曾在当地医院行CT显示:右侧豆状核密度普遍稍增高,CT值右侧40HU、左侧34HU(图1A)。在当地输液(具体不详)2d后无缓解而转入我院。否认高血压、糖尿病、肝炎病史,入院时发现血糖高(连续2d FPG 13mmol/L)。查体:生命体征平稳,心肺腹检
Female patient, 70 years old, admitted for dance 2 weeks due to sudden left body dance. Two weeks ago in the absence of obvious incentive to sudden left upper limbs, left limb involuntary gallop, affecting walking, sober when, disappear during sleep. Unconsciousness, fever, headache, nausea, vomiting, absence of limb paralysis and bouts of disability. CT performed at a local hospital showed that the density of the right putamen increased slightly, with 40HU on the right and 34HU on the left (Figure 1A). In the local infusion (specific unknown) after 2d without remission and transferred to our hospital. Denied the history of hypertension, diabetes and hepatitis. High blood glucose was found on admission (continuous 2-day FPG 13 mmol / L). Physical examination: stable vital signs, cardiopulmonary abdominal examination