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Hyperglycemic Hemichorea: A Case Series

Hemichorea has been reported in subjects with hyperglycemia and the recurrent was rarely reported. We identified clinical presentation and course of hypeglycemic hemichorea in six cases, one of whom experienced recurrence. Mean age was 77.2 years and five were women. Duration of diabetes was 1-35 ye...

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Autores principales: Moon, Seoil, Kim, Hea Eun, Oh, Tae Jung, Ahn, Chang Ho, Choi, Sung Hee, Jang, Hak Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Geriatrics Society 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497942/
https://www.ncbi.nlm.nih.gov/pubmed/34192838
http://dx.doi.org/10.4235/agmr.21.0052
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author Moon, Seoil
Kim, Hea Eun
Oh, Tae Jung
Ahn, Chang Ho
Choi, Sung Hee
Jang, Hak Chul
author_facet Moon, Seoil
Kim, Hea Eun
Oh, Tae Jung
Ahn, Chang Ho
Choi, Sung Hee
Jang, Hak Chul
author_sort Moon, Seoil
collection PubMed
description Hemichorea has been reported in subjects with hyperglycemia and the recurrent was rarely reported. We identified clinical presentation and course of hypeglycemic hemichorea in six cases, one of whom experienced recurrence. Mean age was 77.2 years and five were women. Duration of diabetes was 1-35 years. Initial HbA1c levels were 9.3%-13% and most patients had poor compliance. Five patients undertook brain magnetic resonance imaging and high signal intensities of basal ganglia was observed in T1-weighted images. All patients were treated with insulin, and four patients were treated with dopamine-receptor blockers. Mean duration of hemichorea was 69 days. One patient’s hemichorea was recurred after 2 months from the time when the first event was resolved and then finally diagnosed with vasculitis. The prognosis of hyperglycaemic hemichoerea seemed to be good. However, we should consider other cause such as vasculitis when the symptom was recurred after adequate glycaemic control.
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spelling pubmed-84979422021-10-19 Hyperglycemic Hemichorea: A Case Series Moon, Seoil Kim, Hea Eun Oh, Tae Jung Ahn, Chang Ho Choi, Sung Hee Jang, Hak Chul Ann Geriatr Med Res Case Report Hemichorea has been reported in subjects with hyperglycemia and the recurrent was rarely reported. We identified clinical presentation and course of hypeglycemic hemichorea in six cases, one of whom experienced recurrence. Mean age was 77.2 years and five were women. Duration of diabetes was 1-35 years. Initial HbA1c levels were 9.3%-13% and most patients had poor compliance. Five patients undertook brain magnetic resonance imaging and high signal intensities of basal ganglia was observed in T1-weighted images. All patients were treated with insulin, and four patients were treated with dopamine-receptor blockers. Mean duration of hemichorea was 69 days. One patient’s hemichorea was recurred after 2 months from the time when the first event was resolved and then finally diagnosed with vasculitis. The prognosis of hyperglycaemic hemichoerea seemed to be good. However, we should consider other cause such as vasculitis when the symptom was recurred after adequate glycaemic control. Korean Geriatrics Society 2021-09 2021-09-30 /pmc/articles/PMC8497942/ /pubmed/34192838 http://dx.doi.org/10.4235/agmr.21.0052 Text en Copyright © 2021 Korean Geriatrics Society https://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/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Moon, Seoil
Kim, Hea Eun
Oh, Tae Jung
Ahn, Chang Ho
Choi, Sung Hee
Jang, Hak Chul
Hyperglycemic Hemichorea: A Case Series
title Hyperglycemic Hemichorea: A Case Series
title_full Hyperglycemic Hemichorea: A Case Series
title_fullStr Hyperglycemic Hemichorea: A Case Series
title_full_unstemmed Hyperglycemic Hemichorea: A Case Series
title_short Hyperglycemic Hemichorea: A Case Series
title_sort hyperglycemic hemichorea: a case series
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497942/
https://www.ncbi.nlm.nih.gov/pubmed/34192838
http://dx.doi.org/10.4235/agmr.21.0052
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