Diabetic nonketotic hyperosmolar state: interesting imaging observations in 2 patients with involuntary movements and seizures.
We report two patients of diabetic nonketotic hyperosmolar state presenting acutely with "self-limiting hemichorea - hemiballismus" and "generalized convulsive status epilepticus". CT scan in both the patients revealed a hyperdense nonenhancing basal ganglia. Magnetic resonance imaging brain of patient 1 showed it to be hyperintense on T1W image and iso-hyper intense on T2W image, minimally enhancing with contrast injection.
Shobha
N
N
Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India.
Sinha
S
S
Taly
A B
AB
Pal
P K
PK
Chandrasekhar
H S
HS
D020820:Dyskinesias / Q000209:etiology*; D005260:Female; D006801:Humans; D020158:Hyperglycinemia, Nonketotic / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012640:Seizures / Q000209:etiology*; D013226:Status Epilepticus / Q000209:etiology; D014057:Tomography, X-Ray Computed