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...

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Bibliographic Details
Published in:Arquivos brasileiros de endocrinologia e metabologia 2010-03, Vol.54 (3), p.335-338
Main Authors: Zétola, Viviane Flumignan, Verschoor, Bruno, Lima, Fernando M, Ottmann, Francisco E, Doubrawa, Eloisa, Paiva, Eduardo, Carvalho, Maurício de, Teive, Hélio A G
Format: Article
Language:Portuguese
Subjects:
Aged
Brain - pathology
Chorea - pathology
Diabetes Complications - complications
Dyskinesias - pathology
Humans
Hyperglycemia - complications
Male
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Summary: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.
ISSN:1677-9487
DOI:10.1590/S0004-27302010000300014