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Combined thalamic and pallidal deep brain stimulation in diabetic hemiballism/hemichorea.
Neurocirugia (Astur : Engl Ed)
September 2024
Department of Neurosurgery, Gayrettepe Florence Nightingale Hospital, Istanbul, Turkey.
Hemiballism/hemichorea (HH) is a hyperkinetic movement disorder observed mostly in older adults with cerebrovascular diseases. Although the symptoms improve without any treatment, lesioning or DBS (deep brain stimulation) may be rarely required to provide symptomatic relief for patients with severe involuntary movements. HH is a rare complication of uncontrolled diabetes.
View Article and Find Full Text PDFContinuous subcutaneous insulin infusion and flash glucose monitoring in diabetic hemiballism-hemichorea.
Ther Adv Endocrinol Metab
July 2020
Department of Endocrinology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China.
A 71-year-old man without previous history of diabetes was hospitalized after suffering polyuria for 1 month and involuntary movement of the left arm for 1 week. His random serum glucose was 42.05 mmol/l and his hemoglobin A1C was 14% (129 mmol/mol).
View Article and Find Full Text PDF[Hemiballism-Hemichorea Induced by Non-Ketotic Hyperglycemia].
Dtsch Med Wochenschr
February 2019
Klinik für Neurologie, Uniklinik RWTH Aachen, Aachen, Deutschland.
Introduction: A non-ketotic hyperglycaemia may cause an affection of basalganglia and, in the following, lead to a hemiballism-hemichorea movement-disorder.
History: A 68-year-old male patient was admitted at our ward with a subacute and painless hemichorea-hemiballism movement-disorder.
Findings And Diagnosis: Due to elevated levels of glycated haemoglobin, negative ketone bodies in the urine and characteristic changes of the striatum in MR-imaging the diagnosis of a non-ketotic hyperglycemia induced hemichorea-hemiballism was made.
Globus Pallidus Internus Deep Brain Stimulation for Disabling Diabetic Hemiballism/Hemichorea.
Case Rep Neurol Med
October 2017
Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Unilateral hemichorea/hemiballism (HH) associated with contralateral neuroimaging abnormalities of the basal ganglia, which is characterized by T1 hyperintensity on magnetic resonance imaging (MRI) and is secondary to diabetic nonketotic hyperglycemia, is a rare and unique complication of poorly controlled diabetes mellitus (DM). Although almost all prior reports have documented rapid resolution of HH within days after normalization of blood glucose levels, medically refractory persistent HH has been noted. The experience of surgical intervention for persistent HH is limited.
View Article and Find Full Text PDFDiabetic striatopathy in a patient with hemiballism.
Emerg Radiol
June 2015
Department of Radiology, Faculty of Medicine, Mersin University, 34. Cadde, Çiftlikköy Kampüsü, 33343, Mersin, Turkey,
Diabetic striatopathy is a rare and life-threatening manifestation of diabetes mellitus. The disease commonly affects individuals of Asian descent, females, and the elderly. Patients usually present with hemiballism-hemichorea caused by nonketotic hyperglycemia.
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