ECE2022 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (318 abstracts)
A Rare Case: Non Ketotic Hyperglycemic Chorea
Filiz Mercan Sarıdaş 1 , Mehmet Akif Ötegeçeli 2 , Ensar Aydemir 1 , Coskun Ates 2 , Erhan Hocaoğlu 1 , Soner Cander 1 , Ozen Oz Gul 2 , Canan Ersoy 1 & Erdinc Erturk 2
1Bursa Uludag University, Endocrinology and Metabolism, Bursa, Turkey; 2Bursa Uludag University, Internal Medicine, Bursa, Turkey
Introduction: Hemichorea-hemiballismus, secondary to hyperglycemia, is a rare but easily treatable condition that is usually associated with poorly controlled type II diabetes mellitus. Diagnosis is based on clinical assessment and imaging. Etiology includes primarily cerebrovascular diseases, metabolic, degenerative, infectious diseases, space-occupying lesions, basal ganglia damage due to drugs and toxic substances.
Case: Here we report a rare case of a 78-year-old woman presenting with involuntary movements on the left side of her body secondary to long standing and uncontrolled hyperglycemia. The T1-weighted magnetic resonance imaging revealed hyperintensity in the right basal ganglia. She received intensive insuline therapy and haloperidol. During the follow-up, the patient’s blood glucose level and HbA1c improved, along with significant improvement in choreiform movements.
Conclusion: In conclusion, when patients with diabetes mellitus present with unilateral movement disorder, non-ketotic hyperglycemic chorea should be considered, and treatment should be started immediately after diagnosis.Key Words: Hemichorea, Hemiballismus, Hyperglycemia, T-1 hyperintensity.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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