Cargando…

Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report

Non-ketotic hyperglycemia is an uncommon cause of hemichorea-hemiballismus syndrome that has been associated with high levels of glucose that are not well controlled. Lesions typically occur in the globus pallidus and putamen, which can be identified via computed tomography (CT) or magnetic resonanc...

Descripción completa

Detalles Bibliográficos
Autores principales: Everett, Scott, Dalo, Alice M, Ananth, Deepasri, Alejo, Andrew L, Durdella, Haley, Niehaus, Matthew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234610/
https://www.ncbi.nlm.nih.gov/pubmed/37273351
http://dx.doi.org/10.7759/cureus.38434
_version_ 1785052531975520256
author Everett, Scott
Dalo, Alice M
Ananth, Deepasri
Alejo, Andrew L
Durdella, Haley
Niehaus, Matthew
author_facet Everett, Scott
Dalo, Alice M
Ananth, Deepasri
Alejo, Andrew L
Durdella, Haley
Niehaus, Matthew
author_sort Everett, Scott
collection PubMed
description Non-ketotic hyperglycemia is an uncommon cause of hemichorea-hemiballismus syndrome that has been associated with high levels of glucose that are not well controlled. Lesions typically occur in the globus pallidus and putamen, which can be identified via computed tomography (CT) or magnetic resonance imaging (MRI). These lesions generally correspond with ballistic and choreiform movements on the contralateral side of the observed imaging findings. Additionally, amelioration of hyperglycemia is the first-line treatment and usually reduces and resolves these hyperkinetic movement symptoms. This case report demonstrates a case of non-ketotic hyperglycemia hemichorea-hemiballismus syndrome in an individual with a history of poorly controlled type 2 diabetes mellitus and a highly elevated hemoglobin A1C (HbA1C), who subsequently improved with insulin therapy.
format Online
Article
Text
id pubmed-10234610
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-102346102023-06-02 Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report Everett, Scott Dalo, Alice M Ananth, Deepasri Alejo, Andrew L Durdella, Haley Niehaus, Matthew Cureus Endocrinology/Diabetes/Metabolism Non-ketotic hyperglycemia is an uncommon cause of hemichorea-hemiballismus syndrome that has been associated with high levels of glucose that are not well controlled. Lesions typically occur in the globus pallidus and putamen, which can be identified via computed tomography (CT) or magnetic resonance imaging (MRI). These lesions generally correspond with ballistic and choreiform movements on the contralateral side of the observed imaging findings. Additionally, amelioration of hyperglycemia is the first-line treatment and usually reduces and resolves these hyperkinetic movement symptoms. This case report demonstrates a case of non-ketotic hyperglycemia hemichorea-hemiballismus syndrome in an individual with a history of poorly controlled type 2 diabetes mellitus and a highly elevated hemoglobin A1C (HbA1C), who subsequently improved with insulin therapy. Cureus 2023-05-02 /pmc/articles/PMC10234610/ /pubmed/37273351 http://dx.doi.org/10.7759/cureus.38434 Text en Copyright © 2023, Everett et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Endocrinology/Diabetes/Metabolism
Everett, Scott
Dalo, Alice M
Ananth, Deepasri
Alejo, Andrew L
Durdella, Haley
Niehaus, Matthew
Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title_full Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title_fullStr Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title_full_unstemmed Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title_short Non-ketotic Hyperglycemia Hemichorea-Hemiballismus Syndrome: A Case Report
title_sort non-ketotic hyperglycemia hemichorea-hemiballismus syndrome: a case report
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234610/
https://www.ncbi.nlm.nih.gov/pubmed/37273351
http://dx.doi.org/10.7759/cureus.38434
work_keys_str_mv AT everettscott nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport
AT daloalicem nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport
AT ananthdeepasri nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport
AT alejoandrewl nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport
AT durdellahaley nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport
AT niehausmatthew nonketotichyperglycemiahemichoreahemiballismussyndromeacasereport