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The Magnetic Resonance Image-Arterial Spin Labeling Characteristic of Nonketotic Hyperglycemic Hemichorea in an Elderly Type 2 Diabetic Female Patient.
Metab Syndr Relat Disord
November 2024
Department of Endocrinology, Shanghai Pudong Hospital, Fudan University, Shanghai, China.
Nonketotic hyperglycemia-induced hemichorea is a rare condition of type 2 diabetes. It is characterized by hyperglycemia with the symptom traced to the basal ganglion like hemichorea or hemiballism, with the hyperintensity within basal ganglion presented in computed tomography (CT) or hyper signal in T1-weighted magnetic resonance image (MRI). It was also confirmed with a relatively better prognosis in that the symptoms of these patients could be relieved after the alleviation of hyperglycemia.
View Article and Find Full Text PDFAn Unusual Movement Disorder-Case of Diabetic Striatopathy.
JCEM Case Rep
November 2024
Chicago Medical School, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.
Article Synopsis
- * A 70-year-old Hispanic man with a history of diabetes and other health issues presented with severe left-sided involuntary movements for three weeks due to hyperglycemia.
- * The patient's symptoms improved after his blood sugar levels were normalized, emphasizing the importance of managing diabetes and recognizing NKH-CB early for effective treatment.
Hyperglycemic Chorea.
AACE Clin Case Rep
February 2024
Division of Endocrinology, Department of Medicine, Montefiore Medical Center, Bronx, New York.
Diabetic striatopathy: Hyperglycemic chorea/ballism successfully treated with L-dopa.
J Diabetes Investig
October 2024
Department of Diabetes and Endocrinology, Medical Research Institute KITANO HOSPITAL, PIIF Tazuke-Kofukai, Osaka, Japan.
Diabetic striatopathy, a rare hyperglycemia complication, is characterized by chorea/ballism and striatal anomalies on neuroimaging, usually managed with glycemic control and haloperidol. However, practical strategies for haloperidol-resistant cases are scarce. We describe a 76-year-old Japanese woman with diabetic striatopathy who initially presented with polydipsia, polyuria, and lower-extremity weakness.
View Article and Find Full Text PDFA Case of Non-ketotic Hyperglycemic Hemichorea and Fahr Syndrome.
Cureus
May 2024
Neurology, King Fahad Medical City, Riyadh, SAU.
Non-ketotic hyperglycemic hemichorea (NHH) denotes acute hemichorea or hemiballism in patients with poorly controlled diabetes with striatal abnormalities seen on brain MRI. Here, we describe a case with diabetes mellitus and primary hypoparathyroidism who developed NHH with bilateral chorea due to the abrupt stopping of her diabetic regimen. She presented with subacute and progressive bilateral asymmetric chorea.
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