Case Studies | Medicine | Portugal | Volume 9 Issue 6, June 2020
Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira
Although not very frequent, chorea may be a manifestation of hyperglycaemia, more frequently on Asian elder women with type 2 Diabetes, predominantly presenting with non-ketotic hyperglycaemia. The authors present the case of a 68 years old Caucasian woman presenting with hyperglycaemia and involuntary choreiform movements of the right hemibody. The patient was not taking any medication but there was a previous Diabetes diagnosis. An initial arterial blood sample revealed a glycaemia of 459mg/dL. Insulin was initiated, and a blood sample and Cerebral CT-Scan scan were requested. The blood sample allowed the exclusion of infectious processes and the cerebral CT-Scan helped to exclude stroke, haemorrhage, tumours and other cerebral lesions. The patient was admitted due to a decompensated Diabetes Mellitus and to Choreiform movements and the diagnosis of Hyperglycaemic Chorea started to be a possibility. The patient kept the insulin administrations until normalization of the glycaemic profile. A progressive resolution of the involuntary movements was observed, with their resolution on the 3rd day of internment. The patient was discharged under medication with oral antidiabetics (metformin, a DPP4 inhibitor and a sulfonylurea). A Brain MRI revealed a light T1 hypersignal in the posterior part of the putamen, one characteristic finding of Hyperglycaemic Chorea.
Keywords: Chorea, Diabetes Complications, Diabetes Mellitus, Type 2, Hyperglycemia
Edition: Volume 9 Issue 6, June 2020
Pages: 242 - 244
How to Cite this Article?
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira, "Hyperglicaemic Chorea in a Non Asian Patient", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=SR20601155357, Volume 9 Issue 6, June 2020, 242 - 244
116 PDF Views | 71 PDF Downloads
Similar Articles with Keyword 'Chorea'
Case Studies, Medicine, Portugal, Volume 9 Issue 6, June 2020
Pages: 242 - 244Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira
Case Studies, Medicine, Portugal, Volume 9 Issue 1, January 2020
Pages: 1387 - 1389Hemichorea - A Rare Complication of Hyperglycemia
Joao Pinto Machado, Joao Ribeiro, Joana Marques, Ana Nunes, Nuno Monteiro, Marta Fonseca
Case Studies, Medicine, Indonesia, Volume 9 Issue 5, May 2020
Pages: 820 - 822Hemichorea-Hemiballism in Hyperosmolar Hyperglycemic State: A Rare Presentation
Putu Dewinta Darmada, Dian Daniella, Handri Yanto, Ketut Suryana
Similar Articles with Keyword 'Diabetes Mellitus'
Research Paper, Medicine, India, Volume 9 Issue 9, September 2020
Pages: 683 - 685Correlation between Duration of Illness and Treadmill Test in Type II Diabetes Mellitus Patients
Anand Kumar R, Pradeep Pereira, Roshan M
Case Studies, Medicine, Portugal, Volume 9 Issue 6, June 2020
Pages: 242 - 244Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira
Case Studies, Medicine, Portugal, Volume 9 Issue 1, January 2020
Pages: 1387 - 1389Hemichorea - A Rare Complication of Hyperglycemia
Joao Pinto Machado, Joao Ribeiro, Joana Marques, Ana Nunes, Nuno Monteiro, Marta Fonseca
Case Studies, Medicine, Indonesia, Volume 9 Issue 5, May 2020
Pages: 820 - 822Hemichorea-Hemiballism in Hyperosmolar Hyperglycemic State: A Rare Presentation
Putu Dewinta Darmada, Dian Daniella, Handri Yanto, Ketut Suryana
Research Paper, Medicine, India, Volume 9 Issue 1, January 2020
Pages: 1380 - 1382Plasma Uric Acid Level and its Association with Type II Diabetes Mellitus
Dr. Manjiri R. Naik, Dr. Nishant R. Agrawal, Dr. Indu Dasari
Similar Articles with Keyword 'Type 2'
Survey Paper, Medicine, Albania, Volume 9 Issue 7, July 2020
Pages: 665 - 669Prevalence of Microalbuminuria and Risk Factor Analysis in Type 2 Diabetes Patients in Albania
Strakosha A, D. Cela, Pasko N, Dedej
Research Paper, Medicine, India, Volume 9 Issue 2, February 2020
Pages: 1775 - 1779Comparative Study between Modes of Non Invasive Ventilation for the Management of Type 2 Respiratory Failure in Acute Exacerbation of Chronic Obstructive Pulmonary Disease Patients
R K Jenaw, Nikhil Kumar Tailor
Case Studies, Medicine, Portugal, Volume 9 Issue 6, June 2020
Pages: 242 - 244Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira
Research Paper, Medicine, India, Volume 9 Issue 1, January 2020
Pages: 1125 - 1127Correlation of HbA1C with Serum Uric Acid Level in Type II Diabetic Mellitus
Dr. Uddhav Khaire, Dr. Pramod Wattamwar
Case Studies, Medicine, Portugal, Volume 9 Issue 1, January 2020
Pages: 1387 - 1389Hemichorea - A Rare Complication of Hyperglycemia
Joao Pinto Machado, Joao Ribeiro, Joana Marques, Ana Nunes, Nuno Monteiro, Marta Fonseca
Similar Articles with Keyword 'Hyperglycemia'
Case Studies, Medicine, Portugal, Volume 9 Issue 6, June 2020
Pages: 242 - 244Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro, Joao Pinto Machado, Sara Macedo, Eurico Oliveira
Case Studies, Medicine, Portugal, Volume 9 Issue 1, January 2020
Pages: 1387 - 1389Hemichorea - A Rare Complication of Hyperglycemia
Joao Pinto Machado, Joao Ribeiro, Joana Marques, Ana Nunes, Nuno Monteiro, Marta Fonseca
Research Paper, Medicine, India, Volume 9 Issue 4, April 2020
Pages: 106 - 110Correlation between Hyperuricemia and Albuminuria in Type 2 Diabetes Mellitus Patients in Jaipur, Rajasthan
Dr. Nabendu Prashar, Dr. Ganpat Devpura, Dr. Nikhil Mishra