Chorea in the both lower limbs associated with nonketotic hyperglycemia
Young-Hee Sung1, Ki-Hyung Park1, Yeung-Bae Lee1
1Department of Neurology, Gachon University of Medicine and Science, Incheon, Korea.
Abstract:
Hemichorea-hemiballism (HC-HB) is a complication of non-ketotic hyperglycemia (NKH); in NKH patients, the frequency of occurrence of HC-HB is greater than that of bilateral chorea. We report the case of a hyperglycemic patient who showed chorea in both the lower limbs. Magnetic resonance imaging (MRI) of the brain revealed high signal intensity on T1-weighted images of the bilateral dorsolateral putamen. The abnormal involuntary movements disappeared after oral administration of haloperidol. Our case report that chorea associated with NKH is correlated with the topography of the basal ganglia.
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