A case of hyperglycemia-induced hemiballism-hemichorea associated with diabetic ketoacidosis / 대한내과학회지
Korean Journal of Medicine
; : 62-66, 2010.
Article
em Ko
| WPRIM
| ID: wpr-201329
Biblioteca responsável:
WPRO
ABSTRACT
Hemiballism-hemichorea (HB-HC) is defined as continuous, non-patterned, and involuntary movement involving one side of the body and is often associated with endocrine diseases such as diabetes mellitus (DM) and hyperthyroidism. In Korea, 16 cases of HB-HC associated with non-ketotic hyperglycemia have been reported. Here, we report the first known case of HB-HC associated with type 2 DM and diabetic ketoacidosis (DKA). A 32-year-old man visited our hospital complaining of hemichoreoballistic movement. The patient had no history of DM. In a neurological examination and laboratory tests, HB-HC associated with type 2 DM and DKA was diagnosed. The patient was immediately treated with intravenous hydration and insulin therapy, and completely recovered. DKA and non-ketotic hyperglycemia should be considered as a possible cause of HB-HC, although these are very rare. In HB-HC associated with DKA, strict blood glucose control is needed.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Glicemia
/
Cetoacidose Diabética
/
Discinesias
/
Diabetes Mellitus
/
Doenças do Sistema Endócrino
/
Hiperglicemia
/
Hipertireoidismo
/
Insulina
/
Coreia (Geográfico)
/
Exame Neurológico
Limite:
Adult
/
Humans
País/Região como assunto:
Asia
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2010
Tipo de documento:
Article