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Hemifacial Spasm as the Presenting Manifestation of Type 3c Diabetes Mellitus
Ritwik Ghosh1, Dipayan Roy2,3, Subhankar Chatterjee4
1Department of General Medicine, Burdwan Medical College & Hospital, Burdwan, West Bengal, India.
Background:
Type 3c diabetes mellitus (T3cDM) usually occurs because of a variety of exocrine pancreatic diseases with varying mechanisms, which eventually lead to secondary pancreatic endocrine insufficiency i.e. hyperglycemia.
Phenomenology:
A man suffering from previously undiagnosed T3cDM presenting with subacute onset hemifacial spasm.
Educational Value:
This case emphasizes the importance of rapid bedside measurement of capillary blood glucose in patients presenting with acute to subacute onset movements disorders irrespective of their past glycemic status.
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