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Case Reports
. 2024 Mar 6;16(3):e55678.
doi: 10.7759/cureus.55678. eCollection 2024 Mar.

Revealing Non-ketotic Hyperglycemia as a Trigger for Hemichorea-Hemiballismus in Uncontrolled Diabetic Asthmatics: A Case Report

Pranav Chaudhari  1 , Rucha Sawant  1 , Vineet Karwa  1 , Sarang S Raut  1 , Sourya Acharya  1 , Sunil Kumar  1
Affiliations
Case Reports

Revealing Non-ketotic Hyperglycemia as a Trigger for Hemichorea-Hemiballismus in Uncontrolled Diabetic Asthmatics: A Case Report

Pranav Chaudhari et al. Cureus. .

Abstract

Uncontrolled diabetes can trigger a movement disorder called hemichorea-hemiballismus, characterized by non-ketotic hyperglycemia-related chorea/ballism and usually reversible basal ganglia abnormalities on CT and/or MRI. The condition is diagnosed clinically and is mostly based on radiological imaging. Here, we report a case of a 68-year-old female presenting with right-sided and facial involuntary movements owing to uncontrolled hyperglycemia who was treated with antidiabetic and anticholinergic medications. The patient responded well to the treatment and showed a favorable outcome with no complications.

Keywords: asthma; chorea disorders; diabetes mellitus; hemiballismus; hyperglycemia; steroid.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. This shows an MRI T1-weighted image with no obvious abnormality in the basal ganglia (red arrows showing basal ganglia)
Figure 2
Figure 2. This shows an MRI T2-weighted image with no obvious abnormality in the basal ganglia (red arrows showing basal ganglia)
Figure 3
Figure 3. This shows an MRI FLAIR image with no obvious abnormality in the basal ganglia (red arrows showing basal ganglia)
See this image and copyright information in PMC

References

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