title: Hemichorea caused by nonketotic hyperosmolar state: A case report and review of the literature.
abstract: Our report involves a case of hemichorea caused by the nonketotic hyperosmolar state. We have analyzed the clinical data and relevant features of a patient who presented herself to the Affiliated Hospital of Xuzhou Medical University. The patient had unilateral involuntary movements for 1 month. We discovered that her blood glucose levels were very high. The patient underwent computed tomography (CT), magnetic resonance imaging (MRI), and magnetic resonance angiography (MRA), indicating right basal ganglia lesion. Control of the patient's blood glucose plus supportive treatment resulted in a significant improvement of her clinical state.
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Hafiz Khuram
authors.initials: HK
authors.lastname: Raza
authors.affiliation: b Department of Biology , Georgia State University , Atlanta , GA , USA.
authors.forename: Jia
authors.initials: J
authors.lastname: Jing
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Guiyun
authors.initials: G
authors.lastname: Cui
authors.affiliation: c The People's Hospital of Suining , Xuzhou , Jiangsu , P.R. China.
authors.forename: Xiaoqian
authors.initials: X
authors.lastname: Liang
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Fang
authors.initials: F
authors.lastname: Hua
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Zunsheng
authors.initials: Z
authors.lastname: Zhang
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Hai
authors.initials: H
authors.lastname: Tang
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Hongjuan
authors.initials: H
authors.lastname: Shi
authors.affiliation: a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
authors.forename: Hao
authors.initials: H
authors.lastname: Chen
mesh_terms: D000368:Aged; D016206:Databases, Bibliographic / Q000706:statistics & numerical data; D005260:Female; D006420:Hemeproteins / Q000633:toxicity*; D006801:Humans; D020158:Hyperglycinemia, Nonketotic / Q000139:chemically induced* / Q000000981:diagnostic imaging; D021621:Imaging, Three-Dimensional; D008279:Magnetic Resonance Imaging; D015898:Tomography Scanners, X-Ray Computed
chemical_list: D006420:Hemeproteins; C001332:hemichrome
keywords: Basal ganglia; chorea; hemichorea; magnetic resonance imaging; nonketotic hyperglycemia