A Rare Case of Hyperglycemic-Hemichorea in a Young Patient

被引：4

作者：

Fatima, Meraj ^{[1
]}

Iqbal, Mohsin ^{[2
,3
]}

Abbas, Saira ^{[4
]}

Kumar, Deepak ^{[5
]}

Jitidhar, F. N. U. ^{[6
]}

机构：

[1] Dow Univ Hlth Sci, Dow Univ Hosp, Dow Int Med Coll, Neurol, Karachi, Pakistan

[2] Dow Univ Hlth Sci, Internal Med, Karachi, Pakistan

[3] Dow Univ Hosp, Internal Med, Karachi, Pakistan

[4] Dow Univ Hlth Sci, Neurol, Karachi, Pakistan

[5] Jinnah Postgrad Med Ctr, Med ICU, Karachi, Pakistan

[6] Dow Med Coll Civil Hosp, Internal Med, Karachi, Pakistan

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 06期

关键词：

chorea; hyperglycemic hemichorea; chorea hyperglycemia basal ganglia syndrome; NONKETOTIC HYPERGLYCEMIA; HYPERINTENSITY; MRI;

D O I：

10.7759/cureus.8483

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chorea is an abnormal, nonrhythmic, and purposeless movement of limbs. There is a long list of diseases responsible for chorea; long-standing hyperglycemia can sometimes result in it, which typically manifests on one side of the body. MRI brain is an added diagnostic tool, which commonly shows hyperintense basal ganglia lesion on T1-weighted images. Chorea in the context of hyperglycemia is a reversible and infrequent occurrence, best managed with insulin and haloperidol combination therapy. Here, we discuss a patient with hyperglycemic-hemichorea, whose symptoms resolved completely within two months of taking insulin and haloperidol.

引用

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