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Case Reports
. 2010 Jun:58:387-8.

Mixed movement disorder as the presenting manifestation of non-ketotic hyperglycemia

K Mugundhan  1 , Arun Maski, J A Elanchezhian, V Rajkumar, A Thangaraj, R Anbalagan
Affiliations
  • PMID: 21125782
Case Reports

Mixed movement disorder as the presenting manifestation of non-ketotic hyperglycemia

K Mugundhan et al. J Assoc Physicians India. 2010 Jun.

Abstract

Focal neurological symptoms may provide the first clue to the presence of nonketotic hyperglycemia (NKH). We report a patient with hemichorea-hemiballism (HC-HB) as the first manifestation of NKH. CT Brain revealed hyperdensity in bilateral globus pallidus (GP) and putamen predominantly on right side. Blood sugar was 580 mg/dl and s. osmolality was 316 mosm/l. This condition resolved after correction of hyperglycemia. The possible mechanism by which NKH causes this condition is discussed.

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