Hemichorea-Hemiballism Secondary to Non-Ketotic Hyperglycemia

Jordan E. Pinsker, Keivan Shalileh, Veronica J. Rooks, Richard W. Pinsker

Abstract


Non-ketotic hyperglycemia is an unusual and rare cause of hemichorea-hemiballismus. Correction of the hyperglycemia usually results in total resolution of the signs and symptoms. We present the case and medical imaging findings of a 66-year-old female who presented with steadily worsening choreiform and ballistic movements of the right upper and lower extremities over a 2-week period. Her serum glucose was greater than 600 mg/dL, and no ketones were present. CT scan and MR demonstrated left basal ganglia abnormalities suggesting hyperglycemia-related hemichorea-hemiballismus syndrome. Restoration of euglycemia led to eventual resolution of all symptoms. Knowledge of this disorder is paramount so as to rule out other causes of intracranial pathology.




J Clin Med Res. 2015;7(9):729-730
doi: http://dx.doi.org/10.14740/jocmr2259w

Keywords


Hyperglycemia; Dyskinesias; Chorea

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