Nonketotic Hyperglycemic Chorea

被引:8
作者
Abdelghany, Mahmoud [1 ]
Massoud, Samuel [1 ]
机构
[1] Conemaugh Mem Med Ctr, Dept Med, 1086 Franklin St,E3 Bldg, Johnstown, PA 15905 USA
关键词
D O I
10.1155/2014/128037
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
This is a unique case of nonketotic hyperglycemic (NKH) chorea in a 34-year-old white male. The patient had a poorly controlled type 2 diabetes mellitus (DM) due to medication incompliance. He complained of polyuria, polydipsia, and weight loss of 20 pounds within a month before presentation. T2-weighted (T2W) MRI showed hyperintensity in the left basal ganglion. Glycated hemoglobin (HBA1c) was 13.6%. The patient was started on insulin and clonazepam and the chorea resolved after proper control of the glucose level. To our knowledge, this is the first reported case of NKH chorea in a young white male with high T2-weighted (T2W) magnetic resonance signal in the basal ganglia.
引用
收藏
页数:3
相关论文
共 15 条
[1]   Two cases of hemichorea-hemiballism with nonketotic hyperglycemia: a new point of view [J].
Battisti, Carla ;
Forte, Francesca ;
Rubenni, Elisa ;
Dotti, Maria Teresa ;
Bartali, Anna ;
Gennari, Paola ;
Federico, Antonio ;
Cerase, Alfonso .
NEUROLOGICAL SCIENCES, 2009, 30 (03) :179-183
[2]   SOME OBSERVATIONS ON HEMIBALLISMUS [J].
BEDWELL, SF .
NEUROLOGY, 1960, 10 (06) :619-622
[3]   Chorea induced by non-ketotic hyperglycaemia: a case report [J].
Branca, D ;
Gervasio, O ;
Le Piane, E ;
Russo, C ;
Aguglia, U .
NEUROLOGICAL SCIENCES, 2005, 26 (04) :275-277
[4]   Chorea-ballism as a manifestation of decompensated type 2 diabetes mellitus [J].
Chang, Claudia Veiga ;
Felicio, Andre Carvalho ;
Godeiro, Clecio De Oliveira, Jr. ;
Matsubara, Luiz Shiguero ;
Duarte, Daniela Rezende ;
Ferraz, Henrique Ballalai ;
Okoshi, Marina Politi .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2007, 333 (03) :175-177
[5]   HEMIBALLISM-HEMICHOREA - CLINICAL AND PHARMACOLOGIC FINDINGS IN 21 PATIENTS [J].
DEWEY, RB ;
JANKOVIC, J .
ARCHIVES OF NEUROLOGY, 1989, 46 (08) :862-867
[6]   Hemichorea-hemiballism as the first presentation of type 2 diabetes mellitus [J].
Felicio, Andre C. ;
Chang, Claudia V. ;
Godeiro, Clecio, Jr. ;
Okoshi, Morino P. ;
Ferraz, Henrique B. .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2008, 66 (2A) :249-250
[7]   Hyperglycemia-induced unilateral basal ganglion lesions with and without hemichorea A PET study [J].
Hsu, JL ;
Wang, HC ;
Hsu, WC .
JOURNAL OF NEUROLOGY, 2004, 251 (12) :1486-1490
[8]   Chorea-ballism associated with nonketotic hyperglycaemia or diabetic ketoacidosis: Characteristics of 25 patients in Korea [J].
Lee, Seung-Hwan ;
Shin, Jeong-Ah ;
Kim, Ji-Hyun ;
Son, Jang-Won ;
Lee, Kang-Woo ;
Ko, Seung-Hyun ;
Yang, Seung-Ho ;
Son, Byung Chul ;
Ahn, Yu-Bae .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2011, 93 (02) :E80-E83
[9]  
NAGAI C, 1995, AM J NEURORADIOL, V16, P1243
[10]   PAROXYSMAL CHOREOATHETOSIS DUE TO HYPOGLYCEMIA [J].
NEWMAN, RP ;
KINKEL, WR .
ARCHIVES OF NEUROLOGY, 1984, 41 (03) :341-342