DaT Scan “Abnormality” in Hyperglycemic-Hemichorea

Background: Hyperglycemic-hemichorea is a well-established clinical entity which leads to signal changes on brain MRI. We are reporting a case of hyperglycemic-hemichorea where the DaT scan showed reduced uptake bilaterally. Case Report: A 57-year-old female was seen in the clinic for hemichorea due...

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Main Authors: Nicholas Doher, Harsh V Gupta
Format: Article
Language:English
Published: Ubiquity Press 2019-11-01
Series:Tremor and Other Hyperkinetic Movements
Subjects:
Online Access:https://tremorjournal.org/index.php/tremor/article/view/739/2480
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author Nicholas Doher
Harsh V Gupta
author_facet Nicholas Doher
Harsh V Gupta
author_sort Nicholas Doher
collection DOAJ
description Background: Hyperglycemic-hemichorea is a well-established clinical entity which leads to signal changes on brain MRI. We are reporting a case of hyperglycemic-hemichorea where the DaT scan showed reduced uptake bilaterally. Case Report: A 57-year-old female was seen in the clinic for hemichorea due to hyperglycemia. Her brain magnetic resonance imaging (MRI) showed increased T1 signal intensity in bilateral lenticular nuclei and the DaT scan showed reduced uptake on both sides. Discussion: This case highlights the importance of performing a DaT scan in the correct clinical context, as an abnormality on brain MRI can lead to false-positive DaT scan results.
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spelling doaj.art-37a6874c12bb4653b28bb827d15bb3a62022-12-21T22:26:05ZengUbiquity PressTremor and Other Hyperkinetic Movements2160-82882019-11-01901310.7916/tohm.v0.739739DaT Scan “Abnormality” in Hyperglycemic-HemichoreaNicholas Doher0Harsh V Gupta1Department of Neurology, Kansas University Medical Center, Kansas City, KS, USADepartment of Neurology, Kansas University Medical Center, Kansas City, KS, USABackground: Hyperglycemic-hemichorea is a well-established clinical entity which leads to signal changes on brain MRI. We are reporting a case of hyperglycemic-hemichorea where the DaT scan showed reduced uptake bilaterally. Case Report: A 57-year-old female was seen in the clinic for hemichorea due to hyperglycemia. Her brain magnetic resonance imaging (MRI) showed increased T1 signal intensity in bilateral lenticular nuclei and the DaT scan showed reduced uptake on both sides. Discussion: This case highlights the importance of performing a DaT scan in the correct clinical context, as an abnormality on brain MRI can lead to false-positive DaT scan results.https://tremorjournal.org/index.php/tremor/article/view/739/2480dat scanbasal gangliahyperglycemiahemichoreahemiballism
spellingShingle Nicholas Doher
Harsh V Gupta
DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
Tremor and Other Hyperkinetic Movements
dat scan
basal ganglia
hyperglycemia
hemichorea
hemiballism
title DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
title_full DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
title_fullStr DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
title_full_unstemmed DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
title_short DaT Scan “Abnormality” in Hyperglycemic-Hemichorea
title_sort dat scan abnormality in hyperglycemic hemichorea
topic dat scan
basal ganglia
hyperglycemia
hemichorea
hemiballism
url https://tremorjournal.org/index.php/tremor/article/view/739/2480
work_keys_str_mv AT nicholasdoher datscanabnormalityinhyperglycemichemichorea
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