Hemichorea Associated With Non-ketotic Hyperglycemia: A Case Report and Literature Review

Frontiers in Neurology
Wei ZhengJing-Yuan Lin

Abstract

Objective: To explore the clinical manifestation, diagnosis, therapy, and mechanism of hemichorea associated with non-ketotic hyperglycemia (HC-NH) so as to enhance awareness and avoid misdiagnosis or missed diagnosis of the disease. Methods: A case of HC-NH was reported and reviewed in terms of the clinical features, diagnosis and treatment. Results: Hemichorea associated with non-ketotic hyperglycemia is a rare complication of diabetes mellitus, which is commonly seen in elderly women with poorly-controlled diabetes. The condition is characterized by non-ketotic hyperglycemia, unilateral involuntary choreiform movements, and contralateral basal ganglia hyper-intensity by T1-weighted MR imaging or high density on CT scans. Blood glucose control is the basal treatment, in combination with dopamine receptor antagonists and benzodiazepine sedative, in controlling hemichorea. Conclusion: In clinical practice, the possibility of unilateral chorea should be considered for diabetic patients with poor blood glucose control.

References

Jun 8, 2001·Movement Disorders : Official Journal of the Movement Disorder Society·S OharaT Hashimoto
Dec 18, 2001·Movement Disorders : Official Journal of the Movement Disorder Society·J E AhlskogK A Gwinn-Hardy
Jan 5, 2002·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·G IferganeY O Herishanu
Jun 1, 1960·Neurology·S F BEDWELL
Dec 19, 2003·Annals of Neurology·Masayuki FujiokaBo K Siesjö
Jun 5, 2004·Neuroradiology·Roberta BiancheriC Minetti
Mar 4, 2006·Journal of Magnetic Resonance Imaging : JMRI·Jaya NathErik Armitano
Jun 20, 2006·Lancet Neurology·Francisco CardosoWerner Poewe
Sep 21, 2006·Movement Disorders : Official Journal of the Movement Disorder Society·Oraporn Sitburana, William G Ondo
Feb 27, 2009·Journal of Magnetic Resonance Imaging : JMRI·Ajith CherianChandrasekharan Kesavadas
Mar 24, 2009·Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology·Carla BattistiAlfonso Cerase
Dec 31, 2009·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·K-H ChangC-J Chen
Jul 16, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Tetsuya GotoKazuo Kitazawa
Nov 18, 2014·Indian Journal of Nuclear Medicine : IJNM : the Official Journal of the Society of Nuclear Medicine, India·Maria Mathew D'souzaRajendra Prashad Tripathi
Sep 4, 2015·Journal of Community Hospital Internal Medicine Perspectives·Abhijeet DanveGirja Bhoite
Jan 29, 2016·Neurosciences : the Official Journal of the Pan Arab Union of Neurological Sciences·Khalid W Al-Quliti, Ekhlas S Assaedi
Aug 19, 2016·Tremor and Other Hyperkinetic Movements·Carlos CosentinoMartha Flores
Jun 16, 2018·Epileptic Disorders : International Epilepsy Journal with Videotape·Matteo PaolettiStefano Bastianello
Mar 13, 2019·Lancet·Fei XiaoXue-Feng Wang

❮ Previous
Next ❯

Citations

Jan 26, 2021·The International Journal of Neuroscience·Carmelo Tiberio CurròPaolo Girlanda

❮ Previous
Next ❯

Methods Mentioned

BETA
hysterectomy

Related Concepts

Related Feeds

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Related Papers

Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences
Yacen HuLin Zhou
Arquivos de neuro-psiquiatria
Tiago AguiarPéricles Maranhão-Filho
Neuro Endocrinology Letters
Cheng-guang SongChuan-sheng Zhao
Journal of the American Geriatrics Society
Yong Hwang Mervyn KohYih-Yian Sitoh
© 2021 Meta ULC. All rights reserved