Hemiballismus in Uncontrolled Diabetes Mellitus / 가정의학회지
Korean Journal of Family Medicine
;
: 200-203, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-714505
ABSTRACT
Hemiballismus, a subtype of chorea, is a rare movement disorder, and is most commonly found secondary to stroke. Movements are involuntary, violent, coarse, and have a wide amplitude. There is increasing report of hemiballismus occurring in non-ketotic hyperglycemia. Spontaneous improvements or remissions were observed in many patients, and treatment should be directed towards the cause of hemiballismus. There is no randomized control trial to guide clinicians in deciding the best treatment option when managing hemiballismus. Symptomatic treatment includes the use of drugs such as dopamine receptor blocker and tetrabenazine. Surgical treatment is reserved for severe, persistent, and disabling hemiballismus. This case is of an elderly woman with long standing uncontrolled diabetes who presented with abnormal movement in her left upper limb for 2 months, which resolved slowly with good control of her glucose levels. Treating physicians need to have a high index of suspicion to prevent mismanagement of the condition.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Tétrabénazine
/
Chorée
/
Récepteurs dopaminergiques
/
Accident vasculaire cérébral
/
Dyskinésies
/
Membre supérieur
/
Diabète
/
Glucose
/
Hyperglycémie
/
Troubles de la motricité
Type d'étude:
Essai clinique contrôlé
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Family Medicine
Année:
2018
Type:
Article
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