Nonketotic Hyperglycemic Hemichorea in a Patient with Uncontrolled Diabetes: A Case Report

Dr. Nirav Goswami, Dr. Leena Dabhi

Abstract: Introduction: Non-Ketotic Hyperglycemic Hemichorea (NKHH) is a rare neurological complication of non-ketotic hyperglycemia. Disease usually presents with hemichorea- hemiballismus syndrome seen in Asian elderly female with type 2 diabetes. Symptoms usually resolve on normalization of glucose levels. Case: A 61 year old female Amratben presented to medical emergency room with complaints of involuntary movement of left upper and lower limbs since 1 month. Routine blood tests were normal including thyroid profile. MRI Brain plain study suggestive of a well defined altered signal intensity area involving right basal ganglia (non-ketotic hyperglycemic hemichorea). Patient was treated with Insulin, Metformin and other supportive drugs with which blood sugar was controlled and movement was decreasing in nature.

Keywords: Non-Ketotic Hyperglycemic Hemichorea Diabetic striatopathy Hyperglyacemia Caudate nucleus and Putamen

How to Cite?: Dr. Nirav Goswami, Dr. Leena Dabhi, "Nonketotic Hyperglycemic Hemichorea in a Patient with Uncontrolled Diabetes: A Case Report", Volume 10 Issue 11, November 2021, International Journal of Science and Research (IJSR), Pages: 467-468, https://www.ijsr.net/getabstract.php?paperid=MR211101203631, DOI: https://dx.doi.org/10.21275/MR211101203631