Hemichorea Induced by Non-Ketotic Hyperglycemia in a Caucasian Woman

被引：5

作者：

Pham, Kristina ^{[1
]}

Meegada, Sreenath ^{[2
]}

Challa, Tejo ^{[2
]}

Peddi, Prashanth ^{[2
]}

Annakula, Madhavi ^{[2
]}

机构：

[1] Texas Coll Osteopath Med, Internal Med, Ft Worth, TX 76107 USA

[2] Univ Texas Hlth Sci Ctr, Christus Good Shepherd Med Ctr, Internal Med, Longview, TX 75708 USA

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2020年 / 12卷 / 02期

关键词：

hyperglycemia; hemichorea; HEMIBALLISMUS;

D O I：

10.7759/cureus.6866

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Chorea is a disorder characterized by irregular, involuntary, hyperkinetic movements and has various causes. One unusual cause is hyperglycemia. This case involves a 76-year-old diabetic Caucasian female who developed gait disturbances, hemichorea of the face and limbs, and slurred speech over two to three weeks. She was found to have glucose level of 690 mg/dL with HhAlc of 14.7%. Head CT demonstrated hyperdensity in the left basal ganglia and mild involvement of right basal ganglia. Treatment with insulin alleviated her symptoms. The exact pathophysiology is unknown; however, many theories exist.

引用

页数：6

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