Movement disorders have been associated with hyperglycaemia including chorea, hemiballismus and choreoathetosis. In almost all documented cases, there is an association between clinical and radiological findings. We report a case of an 82-year-old man with hemichorea in the setting of hyperglycaemia and poorly controlled type 2 diabetes. He had subtle striatal changes on his radiology, and with intravenous fluids and insulin, his involuntary movements resolved on day 4, which correlated with improvement in glycaemic control. He was followed up through our local insulin stabilization programme after discharge.
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| http://dx.doi.org/10.1093/omcr/omad063 | DOI Listing |
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Nonketotic hyperglycemia hemichorea and hemiballismus: a case report.
J Med Case Rep
March 2024
Department of Neurology, Institute of Medical Science, Banaras Hindu University, Varanasi, India.
Background: Diabetic striatopathy, also known as hyperglycemic hemichorea-hemiballismus, is a rare movement disorder associated with nonketotic hyperglycemia in patients with poorly controlled diabetes mellitus. The pathophysiology is not fully elucidated but may involve hyperviscosity, ischemia, and alterations in basal ganglia neurotransmitters.
Case Presentation: We present a case of a 64-year-old Asian female patient with longstanding poorly controlled type 2 diabetes mellitus who developed abrupt-onset right-sided hemichorea-hemiballismus.
A rare case of hemichorea in the setting of non-ketotic hyperglycaemia with subtle radiological changes: a case report.
Oxf Med Case Reports
July 2023
Department of General Medicine, Wyong Hospital, Wyong, Wyong, New South Wales 2259, Australia.
Movement disorders have been associated with hyperglycaemia including chorea, hemiballismus and choreoathetosis. In almost all documented cases, there is an association between clinical and radiological findings. We report a case of an 82-year-old man with hemichorea in the setting of hyperglycaemia and poorly controlled type 2 diabetes.
View Article and Find Full Text PDFDance of the Sugar: Two Case Reports of Chorea Associated With Nonketotic Hyperglycemia.
Cureus
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Department of Internal Medicine, Centro Hospitalar Universitário do Algarve - Hospital de Faro, Faro, PRT.
Article Synopsis
- Hyperglycemia-induced chorea/ballism is a rare movement disorder linked to poorly managed type 2 diabetes, typically seen in elderly patients.
- It manifests as sudden, uncontrollable movements on one side of the body and is associated with distinct brain imaging results in the basal ganglia.
- Treatment focuses on correcting high blood sugar levels, often leading to resolution without extra therapy; prompt recognition is essential for better patient outcomes.
Nonketotic hyperglycemic hemichorea (NH-HC) is a rare condition presenting in the clinical setting. Brain imaging plays an important role in diagnosing NH-HC, which typically shows basal ganglia changes contralateral to the side of the hemiballismus/hemichorea. Only a few articles in the literature have reported normal pertinent magnetic resonance/CT findings in patients presenting with NH-HC.
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