Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus

We present an 89-year-old man with new onset of left-sided hemiballismus affecting his face, arm and leg. He was found to have hyperglycaemia with a glucose level of 20.2 mmol/l and had started prednisolone 3 months earlier for polymyalgia rheumatica. A T(2)-weighted magnetic resonance scan of the b...

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Detalles Bibliográficos
Autores principales: Chinthapalli, Krishna, Newey, Allison, Krause, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2015
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584621/
https://www.ncbi.nlm.nih.gov/pubmed/26421160
http://dx.doi.org/10.1093/omcr/omv051
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author Chinthapalli, Krishna
Newey, Allison
Krause, Martin
author_facet Chinthapalli, Krishna
Newey, Allison
Krause, Martin
author_sort Chinthapalli, Krishna
collection PubMed
description We present an 89-year-old man with new onset of left-sided hemiballismus affecting his face, arm and leg. He was found to have hyperglycaemia with a glucose level of 20.2 mmol/l and had started prednisolone 3 months earlier for polymyalgia rheumatica. A T(2)-weighted magnetic resonance scan of the brain showed a hypointense lesion of the right lentiform nucleus. At follow-up, his symptoms had improved with treatment for diabetes mellitus. To our knowledge, this is the first patient to develop hemiballismus after starting corticosteroids.
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spelling pubmed-45846212015-09-29 Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus Chinthapalli, Krishna Newey, Allison Krause, Martin Oxf Med Case Reports Case Reports We present an 89-year-old man with new onset of left-sided hemiballismus affecting his face, arm and leg. He was found to have hyperglycaemia with a glucose level of 20.2 mmol/l and had started prednisolone 3 months earlier for polymyalgia rheumatica. A T(2)-weighted magnetic resonance scan of the brain showed a hypointense lesion of the right lentiform nucleus. At follow-up, his symptoms had improved with treatment for diabetes mellitus. To our knowledge, this is the first patient to develop hemiballismus after starting corticosteroids. Oxford University Press 2015-09-10 /pmc/articles/PMC4584621/ /pubmed/26421160 http://dx.doi.org/10.1093/omcr/omv051 Text en © The Author 2015. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Chinthapalli, Krishna
Newey, Allison
Krause, Martin
Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title_full Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title_fullStr Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title_full_unstemmed Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title_short Corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
title_sort corticosteroid induced hyperosmolar hyperglycaemic state and hemiballismus
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4584621/
https://www.ncbi.nlm.nih.gov/pubmed/26421160
http://dx.doi.org/10.1093/omcr/omv051
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