Hyperglycemia and Hypoglycemia-Related Chorea in an 83-Year-Old Man
Jonathan Spiegel1, Bradley Collins2
1Warren Alpert Medical School of Brown University, Providence, RI; Brain Health Imaging Institute at Weill Cornell Medicine Department of Radiology, New York, NY.
Abstract:
We report a case of a patient who first presented with hyperglycemic chorea, and subsequently with hypoglycemic chorea. The patient's hypoglycemia was thought to be iatrogenic, highlighting the importance of careful glucose management following glycemia- related chorea. Presumably secondary to the patient's chorea, the patient also suffered from new onset shoulder pain, which was managed with gabapentin. Unfortunately, due to the patient's renal failure, the gabapentin, combined with infection, led to encephalopathy in this patient. This report presents and offers useful tips on the management of a unique patient who suffered from hyperglycemic chorea, hypoglycemic chorea, and encephalopathy, all within a few weeks.
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