An Uncommon Hyperosmolar Nonketotic Condition

Year 2020, , 7 - 8, 10.09.2020

Elif Çelikel , Uğur Bilgay Kaya Birsen Uluca Kaya Hasan Dogan Afsin Emre Kayipmaz

https://doi.org/10.33706/jemcr.592152

Abstract

Hyperglycemia may present with neurological symptoms. This rare condition is called non-ketotic hemichorea-hemiballismus (HCHB). When investigating the causes of neurological symptoms in these cases, magnetic resonance imaging (MRI) imaging typically has a hyperintense appearance in T1 sections and a variable intense appearance in T2. A 68-year-old female patient was admitted to the emergency department with speech disorder. Blood sugar elevation and cranial tomography revealed hyperdense appearance in the left caudate nucleus and lentiform nucleus. The patient was hospitalized with a preliminary diagnosis of HCHB. Magnetic resonance in hyperintense T1W sequences in the nucleus caudatus hood and corpus on the left, putamen, globus pallidus, Significant hypointense signal changes were observed in T2W sequences. The patient was admitted to the hospital for treatment and his blood sugar regulation was restored. HCHB is a rare condition in emergency. After the regulation of blood sugar, neurological picture regression is observed. Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.

Keywords

Hyperglicemia, hemichorea-hemiballismus, Hyperosmolar Nonketotic

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