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Case Studies | Medicine | India | Volume 13 Issue 2, February 2024

Chorea Secondary to Hyperglycemia and Chronic Kidney Disease: A Tale of Two Cases of a Rare Dance

Dr. Manivarun | Dr. Prateeksha Rai G | Dr. Suresh Bhat

Abstract: Chorea Hyperglycemia Basal Ganglia Syndrome (CHBG) is an uncommon manifestation associated with poorly controlled nonketotic diabetes mellitus. This case reports describes a unique presentation of chorea in a patient with concomitant chronic kidney disease (CKD) and diabetes mellitus. Case - 1 involves a 49 - year - old male, while Case - 2 features a 63 - year - old male, both known cases of diabetes mellitus and CKD presenting with uncontrolled choreiform movements. While MRI findings supported the diagnosis in Case - 1, Case - 2 lacked such evidence. Both patients exhibited significant improvement after gradual control of hyperglycemia, underlining the relevance of recognizing and addressing CHBG promptly. This report contributes to the understanding of CHBG, highlights the challenges in managing chorea in the context of complex comorbidities, emphasizing early intervention and the importance of an interdisciplinary approach for effective patient care.

Keywords: CHBG, Diabetes Mellitus, CKD, Insulin, Neuroimaging

Edition: Volume 13 Issue 2, February 2024,

Pages: 1513 - 1515