Hemichorea-Hemiballism Due to Non-Ketotic Hyperglycemia

Yıl 2021, Cilt: 5 Sayı: 2, 117 - 118, 25.06.2021

Salih Kocaoğlu , Hasan Basri Çetinkaya , Tufan Alatlı

https://doi.org/10.33716/bmedj.858718

Öz

Chorea-ballismus may be seen in patients with type 2 diabetes as a rare complication of nonketotic hyperglycemia. We presented a patient who came to the emergency department with involuntary movements in the right arm after blood glucose regulation and who developed hemichoreahemiballismus secondary to hyperglycemia, because it is rare in the literature, and we examined the mechanisms responsible in pathophysiology. 

Anahtar Kelimeler

hemichorea, hemiballism, chorea, ballismus, diabetes, diabetes, non-ketotic

Non-Ketotik Hiperglisemiye Bağlı Gelişen Hemikore-Hemiballizm

Öz

Kore-ballismus nonketotik hipergliseminin nadir görülen bir komplikasyonu olarak tip 2 diyabetli hastalarda görülebilir. Kan şekeri regülasyonu sonrası acil servise sağ kolda istem dışı hareketler ile gelen ve yapılan tetkiklerinde hiperglisemiye sekonder hemikore-hemiballismus geliştiği tespit edilen bir hastayı literatürde nadir rastlandığı için sunduk ve patofizyolojide sorumlu mekanizmaları inceledik.

Anahtar Kelimeler

hemikore, hemiballizm, kore, ballismus, diyabet, non-ketotik

Kaynakça

• Gul HL, Kocer A, Sargin H, Boru UT. Hyperosmolar Nonketotic Hyperglusemia Related Chorea-ballismus. Endokrinolojide Yönelişler 2005;14:24-25.
• Apaydın H, Hanağası H, Kore ve hemiballismus:Fenomenoloji ve tedavi. Parkinson Hast Hareket Boz Der 2007;10:62-71.
• Weiner WJ, Lang AE: Movement disorders a comprehensive survey, Futura Publishing Company, Mount Kisco, New York,1989.
• Mihai CM, Catrinoiu D, Stoicescu RM. Atypical onset of diabetes in a teenage girl: a case report. Cases Journal 2008;1:425.
• Lin JJ, Chang MK. Hemiballism-hemichorea and non-ketotic hyperglycaemia. Journal of Neurology Neurosurgery and Psychiatry 1994;57:748-750.
• Awasthi D, Tiwari AK, Upadhyaya A, Singh B, Tomar GS. Ketotic hyperglycemia with movement disorder. J Emerg Trauma Shock 2012;5:90-91.
• Postuma RB, Lang AE. Hemiballism: revisiting a classic disorder. Lancet Neurol 2003; 2:661-668.
• Narayanan S. Hyperglycemia-induced Hemiballismus Hemichorea: A Case Report and Brief Review of the Literature. J Emerg Med 2010; 19:1-3.
• Kim JS, Lee KS, Lee KH, Kim YI, Kim BS, Chung YA, Chung SK. Evidence of thalamic disinhibition in patients with hemichorea: semiquantitative analysis using SPECT. J Neurol Neurosurg Psychiatry 2002;72:329-333.
• Hsu JL, Wang HC, Hsu WC. Hyperglycemia-induced unilateral basal ganglion lesions with and without hemichorea. A PET study. J Neurol 2004;251:1486-1490.
• Shan DE, Ho DM, Chang C, Pan HC, Teng MM. Hemichorea - hemiballism: an explanation for MR signal changes. Am J Neuroradiol 1998; 19:863-870.
• Ohara S, Nakagawa S, Tabata K, Hashimoto T. Hemiballism with hyperglycemia and striatal T1-MRI hyperintensity: an autopsy report. Mov Disord 2001; 16:521-525.
• Chang KH, Tsou JC, Chen ST, Ro LS, Lyu RK, Chang HS, Hsu WC, Chen CM, Wu YR. Temporal features of magnetic resonance imaging and spectroscopy in non-ketotic hyperglycemic chorea-ballism patients. Eur J Neurol 2010; 17:589-593.
• Ergün T, Lakadamyalı H. Hemichorea-Hemiballismus due to Non-Ketotic Hyperglycemia. Turk Norol Derg 2013;19:73.
• Oh SH. Chorea associated with non-ketotic hyperglycemia and hyperintensity basal ganglia lesion on T1-weighted brain MRI study: a meta-analysis of 53 cases including four present cases. J Neurol Sci 2002;200:57-62.