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Published on: November 13, 2016
Nonketotic Hyperglycemia Presenting as Monoballism.
Amitesh Aggarwal1, Nitin Bansal1, Raghav Aggarwal1
1Department of Medicine, University College of Medical Sciences, Delhi University, Delhi, India.
Monoballismus, a rare movement disorder, can occur without a stroke. This case highlights nonketotic hyperglycemia as a potential cause, emphasizing broader differential diagnoses for emergency physicians.
Area of Science:
- Neurology
- Endocrinology
Background:
- Monoballismus is a rare hyperkinetic movement disorder.
- Typically associated with acute cerebrovascular accidents (CVAs).
Observation:
- A 60-year-old diabetic patient presented with monoballismus.
- The patient had no evidence of a cerebrovascular accident.
Findings:
- Monoballismus resolved with improvement of hyperglycemia.
- Nonketotic hyperglycemia is an uncommon but potential cause of ballismus.
Implications:
- Emergency physicians should consider non-cerebrovascular causes of ballismus.
- Differential diagnosis for ballismus includes hyperglycemia, neuroleptic malignant syndrome, and serotonin syndrome.
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