ABSTRACT
Resumen La diabetes mellitus es una enfermedad de alta prevalência, así como también lo son sus complicaciones agudas. Una de ellas es el estado hiperosmolar no cetósico que raramente se asocia con alteraciones involuntarias del movimiento. Sin embargo, existe una condición que asocia alteraciones glucémicas con desórdenes del movimiento, denominado síndrome de corea hiperglicemia y ganglios basales, de la cual presentamos un caso y hacemos revisión de la literatura.
Abstract Diabetes mellitus is a disease of high prevalence, as well as its acute complications. One of them is the nonketotic hyperosmolar state that is rarely associated with involuntary changes in movement. However, there is a condition that associates glycemic alterations with movement disorders, called chorea hyperglycemia basal ganglia syndrome, of which we present a case and review the literature.
ABSTRACT
Hemiballism is an uncommon neurological disorder characterized by uncontrollable movements of one lateral half of the body. We report a 56 years old male with a history of three weeks of polydipsia, polyuria and weight loss that, three days before consultation, started with hemiballism. A CAT scan without contrast showed a higher density in the lenticular nucleus and calcifications in caudate and lenticular nuclei. Diabetes was treated with regular insulin and hemiballism was controlled with neruoleptics. Ten days after admission a new CAT scan shows a partial regression of the lenticular lesion. After two months of follow up, the patient is asymptomatic.
Subject(s)
Humans , Male , Middle Aged , Diabetes Mellitus/physiopathology , Dyskinesias/etiology , Hyperglycemia/complications , Anti-Dyskinesia Agents/therapeutic use , Diabetes Mellitus/diagnosis , Dyskinesias/diagnosis , Dyskinesias/drug therapy , Hypoglycemic Agents , Haloperidol/therapeutic use , Hyperglycemia/drug therapy , Treatment OutcomeABSTRACT
Objective To discover the clinical characteristics of epilepsy in non-ketotic hyperglycaemia.Methods The clinical data of 18 patients with epilepsy in non-ketotic hyperglycaemia were studied retrospectively.Results Ten patients had recurrent episodes of seizure when glycaemic control was lost.Other eight cases had seizure as the first onset,but they were not identified diagnosis with diabetes mellitus.Glycemic levels varied from 16.8 ～ 32.1 mmol/L.Fourteen patients with focal seizures accounted for 77.8%.Seizure control occurred after insulin treatment.Conclusion Epilepsy in non-ketotic hyperglycaemia has not history of diabetes in some patients and occur epilepsy at first.Focal seizures can be seen in most patients.Insulin treatment is essential to control seizures.