ECE2019 ePoster Presentations Diabetes, Obesity and Metabolism (42 abstracts)
Diabetes mellitus revealed by hemichorea: a case report
Sabrine Mekni , Wafa Grira , Marwa Bennour , Ibtissem Oueslati , Ones Rejeb , Meriem Yazidi , Fatma Chaker & Melika Chihaoui
Department of endocrinology, La Rabta hospital, Tunis, Tunisia.
Abnormal movements like hemichorea are rarely described as neurological manifestations of hyperglycemia. It is occur in nonketotic hyperglycemia with a pathognomonic radiological findings. We report a case of a 70 years old women with no past medical history who presented to the emergency department with abnormal limb movements. It was repetitive, brief, involuntary movement of the right arm evolving for 5 days. On admission, neurological examination showed right hemichorea. She did not demonstrate any other neurologic deficit, such as hemiparesis or sensory change. Blood glucose level was 3.47 g/l and ketone bodies were not detected in the urine. Full blood count, liver function tests, renal function tests, inflammatory markers, thyroid function tests and electrocardiogram were normal. The CT scan showed unilateral spontaneous hyperdensity of the left lenticular nucleus. The patient was started on insulin. Evolution was marked by the gradual decrease of chorea until complete disappearance after one week. In conclusion Hemichorea is a rare manifestation of nonketotic hyperglycemia. Recognition of this clinicoradiologic syndrome is important because correction of hyperglycemia lead to neurological improvement.
Article tools
My recent searches
My recently viewed abstracts
Authors
Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
© Bioscientifica 2024 |
Privacy policy |
Cookie settings
BiosciAbstracts
Bioscientifica Abstracts is the gateway to a series of products that provide a permanent, citable record of abstracts for biomedical and life science conferences.
Find out more