Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman

Chorea is a disorder characterized by irregular, involuntary, hyperkinetic movements and has various causes. One unusual cause is hyperglycemia. This case involves a 76-year-old diabetic Caucasian female who developed gait disturbances, hemichorea of the face and limbs, and slurred speech over two t...

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Autores principales: Pham, Kristina, Meegada, Sreenath, Challa, Tejo, Peddi, Prashanth, Annakula, Madhavi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Endocrinology/Diabetes/Metabolism
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055013/
https://www.ncbi.nlm.nih.gov/pubmed/32190436
http://dx.doi.org/10.7759/cureus.6866
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author Pham, Kristina
Meegada, Sreenath
Challa, Tejo
Peddi, Prashanth
Annakula, Madhavi
author_facet Pham, Kristina
Meegada, Sreenath
Challa, Tejo
Peddi, Prashanth
Annakula, Madhavi
author_sort Pham, Kristina
collection PubMed
description Chorea is a disorder characterized by irregular, involuntary, hyperkinetic movements and has various causes. One unusual cause is hyperglycemia. This case involves a 76-year-old diabetic Caucasian female who developed gait disturbances, hemichorea of the face and limbs, and slurred speech over two to three weeks. She was found to have glucose level of 690 mg/dL with HbA1c of 14.7%. Head CT demonstrated hyperdensity in the left basal ganglia and mild involvement of right basal ganglia. Treatment with insulin alleviated her symptoms. The exact pathophysiology is unknown; however, many theories exist.
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spelling pubmed-70550132020-03-18 Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman Pham, Kristina Meegada, Sreenath Challa, Tejo Peddi, Prashanth Annakula, Madhavi Cureus Endocrinology/Diabetes/Metabolism Chorea is a disorder characterized by irregular, involuntary, hyperkinetic movements and has various causes. One unusual cause is hyperglycemia. This case involves a 76-year-old diabetic Caucasian female who developed gait disturbances, hemichorea of the face and limbs, and slurred speech over two to three weeks. She was found to have glucose level of 690 mg/dL with HbA1c of 14.7%. Head CT demonstrated hyperdensity in the left basal ganglia and mild involvement of right basal ganglia. Treatment with insulin alleviated her symptoms. The exact pathophysiology is unknown; however, many theories exist. Cureus 2020-02-04 /pmc/articles/PMC7055013/ /pubmed/32190436 http://dx.doi.org/10.7759/cureus.6866 Text en Copyright © 2020, Pham et al. http://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
Pham, Kristina
Meegada, Sreenath
Challa, Tejo
Peddi, Prashanth
Annakula, Madhavi
Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title_full Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title_fullStr Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title_full_unstemmed Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title_short Hemichorea Induced by Non-ketotic Hyperglycemia in a Caucasian Woman
title_sort hemichorea induced by non-ketotic hyperglycemia in a caucasian woman
topic Endocrinology/Diabetes/Metabolism
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7055013/
https://www.ncbi.nlm.nih.gov/pubmed/32190436
http://dx.doi.org/10.7759/cureus.6866
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