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Ketotic hyperglycemia with movement disorder.
Disha Awasthi1, Akhilesh Kumar Tiwari, Abhinav Upadhyaya
1, Department of Endocrinology, St. Stephen's Hospital, Tees Hazari, New Delhi, India.
Journal of Emergencies, Trauma, and Shock
|March 15, 2012
Summary
Diabetic ketosis can cause movement disorders like chorea in young adults with type 1 diabetes, a rare presentation. This case highlights the importance of considering hyperglycemia in young patients with new-onset neurological symptoms.
Area of Science:
- Neurology
- Endocrinology
- Metabolic Disorders
Background:
- Nonketotic hyperglycemia is a known cause of movement disorders, primarily in older adults with type 2 diabetes.
- Manifestations include chorea and hemichorea-hemiballismus, often associated with severe partial seizures.
- Cases in young adults, particularly those with type 1 diabetes, are exceptionally rare.
Observation:
- This report details a very rare case involving a young patient.
- The patient presented with diabetic ketosis and a concurrent movement disorder.
- This presentation is unusual for individuals with type 1 diabetes.
Findings:
- The study documents a unique instance of diabetic ketosis manifesting with a movement disorder in a young patient.
- This challenges the typical demographic and disease association for such presentations.
- Highlights the potential for atypical neurological symptoms in type 1 diabetes.
Implications:
- Clinicians should consider diabetic ketosis and hyperglycemia in the differential diagnosis of movement disorders in young patients.
- Early recognition and management of hyperglycemia are crucial to prevent neurological complications.
- This case broadens the understanding of the neurological manifestations of diabetes in younger populations.
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