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Case Studies | Medicine | Portugal | Volume 9 Issue 6, June 2020
Hyperglicaemic Chorea in a Non Asian Patient
Joao Oliverio Ribeiro [4] | Joao Pinto Machado [5] | Sara Macedo [3] | Eurico Oliveira [4]
Abstract: 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
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Case Studies, Medicine, India, Volume 11 Issue 1, January 2022
Pages: 178 - 180Fahr's Syndrome: A Rare Etiology of Seizure Disorder
Rashmi Verma [3] | Nupur Goyal | Smritimayee Panda
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Case Studies, Medicine, India, Volume 10 Issue 11, November 2021
Pages: 467 - 468Nonketotic Hyperglycemic Hemichorea in a Patient with Uncontrolled Diabetes: A Case Report
Dr. Nirav Goswami | Dr. Leena Dabhi [2]