Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus

Background: Hemichorea–hemiballism (HCHB) is a hyperkinetic movement disorder with features of both chorea and ballism occurring on the same side.Case report: We present a case of HCHB due to nonketotic hyperglycemia (NKH) that was the initial presentation of diabetes and was irreversible clinically...

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Veröffentlicht in:Tremor and other hyperkinetic movements (New York, N.Y.) N.Y.), 2016-08, Vol.6, p.393
Hauptverfasser: Roy, Ujjawal, Das, Shyamal Kumar, Mukherjee, Adreesh, Biswas, Debsadhan, Pan, Koushik, Biswas, Atanu, Panwar, Ajay
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container_title Tremor and other hyperkinetic movements (New York, N.Y.)
container_volume 6
creator Roy, Ujjawal
Das, Shyamal Kumar
Mukherjee, Adreesh
Biswas, Debsadhan
Pan, Koushik
Biswas, Atanu
Panwar, Ajay
description Background: Hemichorea–hemiballism (HCHB) is a hyperkinetic movement disorder with features of both chorea and ballism occurring on the same side.Case report: We present a case of HCHB due to nonketotic hyperglycemia (NKH) that was the initial presentation of diabetes and was irreversible clinically even after 6 months of optimal blood sugar control.Discussion: Although HCHB due to hyperglycemia is a potentially reversible condition in the majority of patients, prolonged uncontrolled hyperglycemia may cause ischemic insult and persistent symptoms. Hyperglycemia should always be kept in the list of differentials while dealing with patients who are newly diagnosed with HCHB.
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subjects Diabetes
Drug dosages
Electroencephalography
Hemorrhage
Hyperglycemia
Ischemia
Magnetic resonance imaging
Medical imaging
Medical research
Metabolism
Neuroimaging
title Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
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