Chorea-Ballismus Associated With Nonketotic Hyperglycemia Without Hyperosmolality: A Case Report
Journal Title: Journal of Neurological Sciences-Turkish - Year 2008, Vol 25, Issue 2
Abstract
A 77 years old diabetic voman presented with a sudden onset of generalized chorea-ballismus (CB). Laboratory screening revealed uncontrolled diabetes with absent ketones and normal serum osmolality. There were no any abnormalities on magnetic resonance imaging (MRI) that can explain these involuntary movements. Insuline theraphy combined with neuroleptic abolished the involuntary movements completely within 4 days. This excellent prognosis supports the hypothesis that direct effect of hyperglycemia without hyperosmolality may cause CB by neuronal dysfunction in basal ganglia. The involuntary movements can be corrected with blood glucose control within a short time and neuroleptic theraphy may not be required.
Authors and Affiliations
Tulay KURT, Galip AKHAN, Ferda KIZILTAS, Ozlem KAYIM, Zeynep KURT
Keywords
Related Articles
- EP ID EP134053
- DOI -
- Views 105
- Downloads 0
Inherited Thrombophilia, Cerebral Infarction, and Pregnancy
Inherited thrombophilia is a familial disorder that can be particularly seen in young patients causing venous thrombosis. While it is rarely seen in aterial thrombosis, the addition of another risk factors such as –espec...
Parkinson Hastalığında Motor Semptomların Başlama Tarafı ile Kognitif Disfonksiyon Arasındaki İlişki
Bilimsel zemin : Parkinson Hastalığı (PH) tek taraflı motor semptomlarla başlayan nörodejeneratif bir hastalıktır. Klinik süreç boyunca hastalarda kognitif fonksiyonlar bozulabilir ve demans gelişebilir. Ancak başlangıç...
Sütçocukluğu Döneminin Benign Ailevi Konvülsiyonları Olan Bir Ailede 15. Kromozom İnversiyonu
Son yıllarda yapılan moleküler sitogenetik çalışmalar, sıklıkla gelişim geriliği ve malformasyonlara neden olan, yapısal olarak anormal olan veya küçük ekstra kromozoma sahip olan kromozomların orijin ve doğasını aydınla...
Cerebral Hydatid Disease: Clinical Analysis of Ten Cases
Objective: Cerebral hydatid disease is a rare manifestation of echinococcosis but it constitutes a significant part of all intracranial mass lesions. This study aims to determine the clinical, radiological and surgical f...
Prognosis and Clinical Features of Idiopathic Generalised Epilepsy Patients Older Than 40 Years
Introduction: Idiopathic generalised epilepsies (IGE) are usually seen in the first two decades of life. There is a paucity of data of these patients when they get older. Methods: Patients admitted to our epilepsy cente...