Non-ketotic Hyperglycemia Presenting with Acute Hemichorea and Ballism

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Non-ketotic hyperglycemia unmasks hemichorea

BACKGROUND Chorea can be caused by a variety of diseases, including neurodegenerative disorders, vascular events, toxic-metabolic states, and immunologic and infectious diseases. We describe a patient who presented with hemichorea as the initial manifestation of Diabetes Mellitus (DM) and responded partially to the glycemic control. CASE REPORT A 63-year-old, healthy Hispanic man with no prio...

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Hemichorea-Hemiballism Secondary to Non-Ketotic Hyperglycemia

Non-ketotic hyperglycemia is an unusual and rare cause of hemichorea-hemiballismus. Correction of the hyperglycemia usually results in total resolution of the signs and symptoms. We present the case and medical imaging findings of a 66-year-old female who presented with steadily worsening choreiform and ballistic movements of the right upper and lower extremities over a 2-week period. Her serum...

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Hemiballism-hemichorea and non-ketotic hyperglycaemia.

Three patients with hemiballism-hemichorea caused by non-ketotic hyperglycaemia are presented, two of whom had hyperosmolar non-ketotic hyperglycaemic syndrome. In two of the three patients, the hyperkinesia was the initial presenting symptom of their diabetes mellitus. The hypersensitivity of the postmenopausal dopamine receptor, decreased gamma-aminobutyric acid in the brain in non-ketotic hy...

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A Case Series of Hemichorea due to Non Ketotic- Hyperglycemia with Unique MRI Brain Finding

Hemi chorea generally occurs due to a stroke, neoplasm or granuloma in the contra lateral basal ganglia [1]. Metabolic derangements especially hyperglycemia can also cause focal neurological dysfunction like hemiparesis, focal seizure [2,3]. Recently there have been case reports of hemichorea reported due to non-ketotic hyperglycemia with characteristic MRI findings predominantly in the Asian p...

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Non Ketotic Hyperosmolar Hyperglycemia presenting as Epilepsia Partialis Continua

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ژورنال

عنوان ژورنال: American Journal of Hospital Medicine

سال: 2018

ISSN: 2474-7017

DOI: 10.24150/ajhm/2018.019