[Hemiballism-hemichorea with non-ketotic hyperglycemia: movement disorder related to diabetes mellitus].
Diabetes mellitus, especially when not under control, can lead to several neurological complications being the development of involuntary movements one of the rarest presentations. Nonketotic hyperglycemia in aged patients who present with ballismus-chorea movements and cerebral image alterations in computerized tomography (CT) and magnetic resonance constitute a syndrome of recent characterization and few cases in literature. We present a case of a 75 year-old male patient admitted with history of hemiballismus-hemichorea movements, hyperglycemia, glycated hemoglobin of 14.4% and CT with a hyperdense area in the topography of the right basal ganglia. After glycemic control, the neurological signs resolved completely and the initial hyperdense lesion disappeared.
Zétola
Viviane Flumignan
VF
Departamento de Clínica Médica, Hospital de Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brasil. vivianezetola@gmail.com <vivianezetola@gmail.com>
Verschoor
Bruno
B
Lima
Fernando M
FM
Ottmann
Francisco E
FE
Doubrawa
Eloisa
E
Paiva
Eduardo
E
Carvalho
Maurício de
Md
Teive
Hélio A G
HA
D000368:Aged; D001921:Brain / Q000473:pathology*; D002819:Chorea / Q000473:pathology*; D048909:Diabetes Complications / Q000150:complications*; D020820:Dyskinesias / Q000473:pathology*; D006801:Humans; D006943:Hyperglycemia / Q000150:complications*; D008297:Male