Hyperglycaemic Hemichorea and Hyperglycaemic Hyperosmolar Syndrome in a Patient with HbA1c levels of 19.9%: A Rare and Potentially Reversible Case

  • Mariana Gravato Guerra Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Gonçalo Silva Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Daniela Marado Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Jorge Fortuna Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal
  • Armando Carvalho Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal

Keywords

Diabetes mellitus, hyperglycaemic hyperosmolar syndrome, hyperglycaemic hemichorea

Abstract

Hemichorea is a rare clinical manifestation of type 2 diabetes (DMT2). The patient presents with non-ketotic hyperglycemia, hemichorea (characterized by rapid and involuntary movements of a specific part of the body) and the CT imaging reveals the presence of alterations involving the ganglia of the base.

VIEW THE ENTIRE ARTICLE

References

  • Padmanabhan S, Zagami AS, Poynten AM. A case of hemichorea-hemiballismus due to nonketotic hyperglycemia. Diabetes Care 2013;36(4):e55–e56.

  • Cosentino C, Torres L, Nuñez Y, Suarez R, Velez M, Flores M. Hemichorea/hemiballism associated with hyperglycemia: report of 20 cases. Tremor Other Hyperkinet Mov (N Y) 2016;6:402.

  • Chang X, Hong W, Yu H, Yao Y. Chorea associated with nonketotic hyperglycemia: a case report with atypical imaging changes. Medicine 2017;96(45):e8602.

  • Ruhangisa F, Stephen H, Senkondo J, Mwasamwaja A, Kanenda S, Mbarak S, et al. Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report.BMC Res Notes 2016;9:413.
  • Published: 2019-12-20

    Issue: Vol 7 No 1 (view)

    Section: Articles

    How to cite:
    Guerra, M., Silva, G., Marado, D., Fortuna, J., & Carvalho, A. (2019). Hyperglycaemic Hemichorea and Hyperglycaemic Hyperosmolar Syndrome in a Patient with HbA1c levels of 19.9%: A Rare and Potentially Reversible Case. European Journal of Case Reports in Internal Medicine, 7(1). https://doi.org/https://doi.org/10.12890/2019_001305