Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus

BACKGROUND: Hemichorea–hemiballism (HCHB) is a hyperkinetic movement disorder with features of both chorea and ballism occurring on the same side. CASE REPORT: We present a case of HCHB due to nonketotic hyperglycemia (NKH) that was the initial presentation of diabetes and was irreversible clinicall...

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Autores principales: Roy, Ujjawal, Das, Shyamal Kumar, Mukherjee, Adreesh, Biswas, Debsadhan, Pan, Koushik, Biswas, Atanu, Panwar, Ajay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Columbia University Libraries/Information Services 2016
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5019112/
https://www.ncbi.nlm.nih.gov/pubmed/27679748
http://dx.doi.org/10.7916/D8QZ2B3F
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author Roy, Ujjawal
Das, Shyamal Kumar
Mukherjee, Adreesh
Biswas, Debsadhan
Pan, Koushik
Biswas, Atanu
Panwar, Ajay
author_facet Roy, Ujjawal
Das, Shyamal Kumar
Mukherjee, Adreesh
Biswas, Debsadhan
Pan, Koushik
Biswas, Atanu
Panwar, Ajay
author_sort Roy, Ujjawal
collection PubMed
description BACKGROUND: Hemichorea–hemiballism (HCHB) is a hyperkinetic movement disorder with features of both chorea and ballism occurring on the same side. CASE REPORT: We present a case of HCHB due to nonketotic hyperglycemia (NKH) that was the initial presentation of diabetes and was irreversible clinically even after 6 months of optimal blood sugar control. DISCUSSION: Although HCHB due to hyperglycemia is a potentially reversible condition in the majority of patients, prolonged uncontrolled hyperglycemia may cause ischemic insult and persistent symptoms. Hyperglycemia should always be kept in the list of differentials while dealing with patients who are newly diagnosed with HCHB.
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spelling pubmed-50191122016-09-27 Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus Roy, Ujjawal Das, Shyamal Kumar Mukherjee, Adreesh Biswas, Debsadhan Pan, Koushik Biswas, Atanu Panwar, Ajay Tremor Other Hyperkinet Mov (N Y) Case Reports BACKGROUND: Hemichorea–hemiballism (HCHB) is a hyperkinetic movement disorder with features of both chorea and ballism occurring on the same side. CASE REPORT: We present a case of HCHB due to nonketotic hyperglycemia (NKH) that was the initial presentation of diabetes and was irreversible clinically even after 6 months of optimal blood sugar control. DISCUSSION: Although HCHB due to hyperglycemia is a potentially reversible condition in the majority of patients, prolonged uncontrolled hyperglycemia may cause ischemic insult and persistent symptoms. Hyperglycemia should always be kept in the list of differentials while dealing with patients who are newly diagnosed with HCHB. Columbia University Libraries/Information Services 2016-08-05 /pmc/articles/PMC5019112/ /pubmed/27679748 http://dx.doi.org/10.7916/D8QZ2B3F Text en © 2016 Roy et al. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution–Noncommerical–No Derivatives License, which permits the user to copy, distribute, and transmit the work provided that the original author and source are credited; that no commercial use is made of the work; and that the work is not altered or transformed.
spellingShingle Case Reports
Roy, Ujjawal
Das, Shyamal Kumar
Mukherjee, Adreesh
Biswas, Debsadhan
Pan, Koushik
Biswas, Atanu
Panwar, Ajay
Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title_full Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title_fullStr Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title_full_unstemmed Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title_short Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus
title_sort irreversible hemichorea–hemiballism in a case of nonketotic hyperglycemia presenting as the initial manifestation of diabetes mellitus
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5019112/
https://www.ncbi.nlm.nih.gov/pubmed/27679748
http://dx.doi.org/10.7916/D8QZ2B3F
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