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. 2021 Apr 26:11:14.
doi: 10.5334/tohm.611.

Hemifacial Spasm as the Presenting Manifestation of Type 3c Diabetes Mellitus

Ritwik Ghosh  1 , Dipayan Roy  2   3 , Subhankar Chatterjee  4 , Souvik Dubey  5 , Bikash Chandra Swaika  1 , Arpan Mandal  1 , Julián Benito-León  6   7   8
Affiliations

Hemifacial Spasm as the Presenting Manifestation of Type 3c Diabetes Mellitus

Ritwik Ghosh et al. Tremor Other Hyperkinet Mov (N Y). .

Abstract

Background: Type 3c diabetes mellitus (T3cDM) usually occurs because of a variety of exocrine pancreatic diseases with varying mechanisms, which eventually lead to secondary pancreatic endocrine insufficiency i.e. hyperglycemia.

Phenomenology: A man suffering from previously undiagnosed T3cDM presenting with subacute onset hemifacial spasm.

Educational value: This case emphasizes the importance of rapid bedside measurement of capillary blood glucose in patients presenting with acute to subacute onset movements disorders irrespective of their past glycemic status.

Keywords: chronic pancreatitis; hemifacial spasm; pancreatogenic diabetes; type 3c diabetes.

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Conflict of interest statement

The authors have no competing interests to declare.

References

    1. Makuc J. Management of pancreatogenic diabetes: challenges and solutions. Diabetes Metab Syndr Obes. 2016; 9: 311–315. Published 2016 August 25. DOI: 10.2147/DMSO.S99701 - DOI - PMC - PubMed
    1. Hart PA, Bellin MD, Andersen DK, et al. Type 3c (pancreatogenic) diabetes mellitus secondary to chronic pancreatitis and pancreatic cancer. Lancet Gastroenterol Hepatol. 2016; 1(3): 226–237. DOI: 10.1016/S2468-1253(16)30106-6 - DOI - PMC - PubMed
    1. Ewald N, Bretzel RG. Diabetes mellitus secondary to pancreatic diseases (Type 3c) – are we neglecting an important disease? Eur J Intern Med. 2013; 24(3): 203–206. DOI: 10.1016/j.ejim.2012.12.017 - DOI - PubMed
    1. Chua CB, Sun CK, Hsu CW, Tai YC, Liang CY, Tsai IT. “Diabetic striatopathy”: clinical presentations, controversy, pathogenesis, treatments, and outcomes. Sci Rep. 2020; 10: 1594. DOI: 10.1038/s41598-020-58555-w - DOI - PMC - PubMed
    1. Chatterjee S, Ghosh R, Kumari R, Ojha UK, Benito-León J, Dubey S. Faciobrachial Myoclonus as the Presenting Manifestation of Diabetic Keto-Acidosis. Tremor Other Hyperkinet Mov (N Y). 2021; 11: 9. Published 2021 March 2. DOI: 10.5334/tohm.605 - DOI - PMC - PubMed