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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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