Nonketotic Hyperglycemic Hemichorea in a Patient with Uncontrolled Diabetes: A Case ReportJournal: International Journal of Science and Research (IJSR) (Vol.10, No. 11)
Publication Date: 2021-11-05
Authors : Nirav Goswami; Leena Dabhi;
Page : 467-468
Keywords : Non-Ketotic Hyperglycemic Hemichorea Diabetic striatopathy Hyperglyacemia Caudate nucleus and Putamen;
Introduction: Non-Ketotic Hyperglycemic Hemichorea (NKHH) is a rare neurological complication of non-ketotic hyperglycemia. Disease usually presents with hemichorea- hemiballismus syndrome seen in Asian elderly female with type 2 diabetes. Symptoms usually resolve on normalization of glucose levels. Case: A 61 year old female Amratben presented to medical emergency room with complaints of involuntary movement of left upper and lower limbs since 1 month. Routine blood tests were normal including thyroid profile. MRI Brain plain study suggestive of a well defined altered signal intensity area involving right basal ganglia (non-ketotic hyperglycemic hemichorea). Patient was treated with Insulin, Metformin and other supportive drugs with which blood sugar was controlled and movement was decreasing in nature.
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