Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia

We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a pr...

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Autores principales: Kitagawa, Masayuki, Yamanaka, Yoshihiro, Adachi, Toru, Ito, Junitsu, Fukase, Kazutoshi, Ohta, Ikuro, Katagiri, Tadashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725863/
https://www.ncbi.nlm.nih.gov/pubmed/28943546
http://dx.doi.org/10.2169/internalmedicine.8615-16
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author Kitagawa, Masayuki
Yamanaka, Yoshihiro
Adachi, Toru
Ito, Junitsu
Fukase, Kazutoshi
Ohta, Ikuro
Katagiri, Tadashi
author_facet Kitagawa, Masayuki
Yamanaka, Yoshihiro
Adachi, Toru
Ito, Junitsu
Fukase, Kazutoshi
Ohta, Ikuro
Katagiri, Tadashi
author_sort Kitagawa, Masayuki
collection PubMed
description We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment.
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spelling pubmed-57258632017-12-13 Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia Kitagawa, Masayuki Yamanaka, Yoshihiro Adachi, Toru Ito, Junitsu Fukase, Kazutoshi Ohta, Ikuro Katagiri, Tadashi Intern Med Case Report We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment. The Japanese Society of Internal Medicine 2017-09-25 2017-11-15 /pmc/articles/PMC5725863/ /pubmed/28943546 http://dx.doi.org/10.2169/internalmedicine.8615-16 Text en Copyright © 2017 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Kitagawa, Masayuki
Yamanaka, Yoshihiro
Adachi, Toru
Ito, Junitsu
Fukase, Kazutoshi
Ohta, Ikuro
Katagiri, Tadashi
Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title_full Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title_fullStr Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title_full_unstemmed Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title_short Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia
title_sort diabetic hemichorea-hemiballism after prompt improvement in hyperglycemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5725863/
https://www.ncbi.nlm.nih.gov/pubmed/28943546
http://dx.doi.org/10.2169/internalmedicine.8615-16
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