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A Rare Case of Hyperglycemic-Hemichorea in a Young Patient

Meraj Fatima1, Mohsin Iqbal2,3, Saira Abbas4

  • 1Neurology, Dow International Medical College, Dow University Hospital, Dow University of Health Sciences, Karachi, PAK.

Cureus
|July 10, 2020
PubMed

Chorea is an abnormal, nonrhythmic, and purposeless movement of limbs. There is a long list of diseases responsible for chorea; long-standing hyperglycemia can sometimes result in it, which typically manifests on one side of the body. MRI brain is an added diagnostic tool, which commonly shows hyperintense basal ganglia lesion on T1-weighted images. Chorea in the context of hyperglycemia is a reversible and infrequent occurrence, best managed with insulin and haloperidol combination therapy. Here, we discuss a patient with hyperglycemic-hemichorea, whose symptoms resolved completely within two months of taking insulin and haloperidol.

Keywords:
choreachorea hyperglycemia basal ganglia syndromehyperglycemic hemichorea

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