Comparison of Hemichorea-Hemiballism between Acute Stroke and Nonketotic-Hyperglycinemia in the Clinical Scenario: Report of a Rare Diabetic Complication

  • Tai-You Guo Division of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
  • Chih-Chun Kuo Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan
  • Ming-Hua Chen Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan
  • Ching-I Lin Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan
  • Jenq-Shyong Chan Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan
  • Po-Jen Hsiao Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan. Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
  • Hann-Yen Shyu Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan.

Abstract

Diabetes mellitus is the major cause of retinopathy, nephropathy and neuropathy. Hyperglycemia is one of major major advised effect on diabetes mellitus. Hemichorea-hemiballism, a rare manifestation of nonketotic hyperglycemia, characterized by involuntary arrhythmic motions in one side of the body which results from focal lesions in the contralateral basal ganglia. Here, we present a 39-year-old woman with violent involuntary rapid and irregular movements of left limbs three days prior to emergency department. Nonketotic hyperglycemia related hemichorea-hemiballism had been confirmed by biochemistry examination and brain computed tomography (CT). Aggressive glucose control with insulin was administered. Her symptoms got improvement gradually after euglycemia two weeks later.

Author Biographies

Tai-You Guo, Division of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Division of Hematology and Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan

Chih-Chun Kuo, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Ming-Hua Chen, Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Ching-I Lin, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan.

Jenq-Shyong Chan, Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan

Po-Jen Hsiao, Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan. Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Division of Nephrology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan. 

Division of Nephrology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

Hann-Yen Shyu, Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan.

Division of Neurology, Department of Internal Medicine, Taoyuan Armed Forces General Hospital, Taiwan.

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Published
2019-03-17
How to Cite
GUO, Tai-You et al. Comparison of Hemichorea-Hemiballism between Acute Stroke and Nonketotic-Hyperglycinemia in the Clinical Scenario: Report of a Rare Diabetic Complication. International Archives of Medicine, [S.l.], v. 12, mar. 2019. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2873>. Date accessed: 17 june 2019. doi: https://doi.org/10.3823/2600.
Section
Endocrinology