Nonketotic Hyperglycemic Hemichorea in a Patient with Uncontrolled Diabetes: A Case Report

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.