Mixed movement disorder as the presenting manifestation of non-ketotic hyperglycemia.
Focal neurological symptoms may provide the first clue to the presence of nonketotic hyperglycemia (NKH). We report a patient with hemichorea-hemiballism (HC-HB) as the first manifestation of NKH. CT Brain revealed hyperdensity in bilateral globus pallidus (GP) and putamen predominantly on right side. Blood sugar was 580 mg/dl and s. osmolality was 316 mosm/l. This condition resolved after correction of hyperglycemia. The possible mechanism by which NKH causes this condition is discussed.
Department of Medicine, Govt. Mohan Kumaramangalam Medical College and Hospital, Salem--1, Tamil Nadu.
K
K
Mugundhan
Arun
A
Maski
J A
JA
Elanchezhian
V
V
Rajkumar
A
A
Thangaraj
R
R
Anbalagan
D000368:Aged; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D020820:Dyskinesias / Q000209:etiology*; D005917:Globus Pallidus / Q000000981:diagnostic imaging*; D006801:Humans; D006943:Hyperglycemia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007662:Ketosis / Q000150:complications; D008297:Male; D011699:Putamen / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D007004:Hypoglycemic Agents; D007328:Insulin