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Nonketotic hyperglycemic hemichorea - A rare presentation of elevated blood sugar.

Am J Emerg Med

March 2025

Guam Memorial Hospital Authority (GMHA), 850 Gov Carlos G Camacho Rd, Oka 96913, Guam. Electronic address:

Nonketotic hyperglycemic hemichorea, also known as diabetic striatopathy or hyperglycemia basal ganglia syndrome, is a rare presentation of hyperglycemia that can be the initial manifestation of diabetes or present in patients with long-standing poorly controlled diabetes. Patients will demonstrate ballismus or choreiform movements which are usually unilateral. On evaluation, patients' labs will show hyperglycemia without evidence of diabetic ketoacidosis.

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