Biballism due to non-ketotic hyperglycaemia.
We describe the case of a 70-year-old woman, with type 1 diabetes mellitus, who suddenly developed a movement disorder on the left side of her body that rapidly extended to the right side, evoking biballism. There was no facial involvement and no vascular lesions on cerebral MRI but non-ketotic hyperglycaemia was present. A combination of a reduction in glucose levels and the use of neuroleptic drugs resulted in the disappearance of the abnormal movements. In this report, we discuss the association between non-ketotic hyperglycaemia and ballism along with a review of the literature.
Boughammoura-Bouatay
A
A
Department of Neurology, University Hospital of Fattouma Bourguiba, avenue 1er-juin, 5000 Monastir, Tunisia.
Chebel
S
S
Younes-Mhenni
S
S
Frih-Ayed
M
M
D000368:Aged; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001786:Blood Glucose / Q000378:metabolism; D002421:Caudate Nucleus / Q000473:pathology; D003922:Diabetes Mellitus, Type 1 / Q000097:blood* / Q000188:drug therapy; D020820:Dyskinesias / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D005917:Globus Pallidus / Q000473:pathology; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D008279:Magnetic Resonance Imaging; D010640:Phenothiazines / Q000627:therapeutic use; D011699:Putamen / Q000000981:diagnostic imaging / Q000473:pathology; D013788:Thalamus / Q000473:pathology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D014150:Antipsychotic Agents; D001786:Blood Glucose; D010640:Phenothiazines; C031637:phenothiazine