[Hemichorea-hemiballism associated to basal ganglia hemorrhage in uncontrolled diabetes mellitus: report of two cases].
Two cases of acute onset hemichorea-hemiballism in female patients with complicated diabetes mellitus are described. Computerized tomography showed diffuse basal ganglia hemorrhage contralateral to the abnormal movements. Occurrence of such a presentation in a teenager with insulin-dependent diabetes mellitus is unique. The relationship between non-ketotic hyperglycemia, structural damage in the basal ganglia and movement disorders are reviewed.
Cava
P A
PA
Departamento de Clínica Médica, Hospital de Clínicas (HC), Universidade Federal do Paraná (UFPR), Brasil.
Kowacs
P A
PA
Werneck
L C
LC
D000293:Adolescent; D000368:Aged; D001479:Basal Ganglia / Q000000981:diagnostic imaging; D001480:Basal Ganglia Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D002543:Cerebral Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology*; D002819:Chorea / Q000209:etiology / Q000503:physiopathology*; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000503:physiopathology*; D005260:Female; D006801:Humans; D009069:Movement Disorders / Q000209:etiology / Q000503:physiopathology*; D011699:Putamen / Q000000981:diagnostic imaging; D013577:Syndrome; D014057:Tomography, X-Ray Computed