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Reply #2 to: Glycemic Choreoballism.

Ujjawal Roy1, Shyamal Kumar Das1, Adreesh Mukherjee1

  • 1Bangur Institute of Neurosciences, IPGMER, Kolkata, India.

Tremor and Other Hyperkinetic Movements (New York, N.Y.)
|January 11, 2017
PubMed
Summary
This summary is machine-generated.

Nonketotic hyperglycemia can cause irreversible hemichorea-hemiballism, a movement disorder. This condition may be the first sign of diabetes mellitus, requiring prompt diagnosis and management.

Keywords:
Hemichorea hemiballismhyperglycemiainfarct

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Area of Science:

  • Neurology
  • Endocrinology
  • Movement Disorders

Background:

  • Hyperglycemia, particularly nonketotic hyperglycemia, is a known cause of movement disorders.
  • Hemichorea-hemiballism is a rare but serious neurological complication associated with uncontrolled diabetes mellitus.

Purpose of the Study:

  • To report a case of irreversible hemichorea-hemiballism as the initial manifestation of diabetes mellitus.
  • To discuss the clinical presentation, diagnosis, and management of hyperglycemic choreoballism.

Main Methods:

  • Case report presentation.
  • Review of relevant literature on hyperglycemic movement disorders.

Main Results:

  • The patient presented with irreversible hemichorea-hemiballism.
  • The condition was the first sign of previously undiagnosed diabetes mellitus.
  • Prompt glycemic control did not reverse the movement disorder in this case, highlighting the potential for irreversible damage.

Conclusions:

  • Nonketotic hyperglycemia can lead to irreversible hemichorea-hemiballism.
  • This movement disorder can be the initial presentation of diabetes mellitus.
  • Early recognition and management of hyperglycemia are crucial to prevent severe neurological sequelae.