Hemichorea-Hemiballism with Non-ketotic Hyperglycemia in a Chronic Renal Failure Patient

ABSTRACT

Multiple metabolic complications of uremia are believed to cause neurologic manifestations in chronic renal failure. It is important to consider the possibility of non-ketotic hyperglycemia when hemichorea-hemiballism(HCHB) occurs in patients with end stage renal disease due to diabetes mellitus nephropathy. HCHB that accompanies hyperglycemia exhibits characteristic findings on the T1-weighted magnetic resonance(MR) imaging. The authors report a case of HCHB associated with non-ketotic hyperglycemia and basal ganglia hyperintensity on the T1-weighted brain MR imaging in a 64-year-old-woman with non-insulin dependent diabetes mellitus nephropathy.