Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus

Ujjawal Roy; Shyamal Kumar Das; Adreesh Mukherjee; Debsadhan Biswas; Koushik Pan; Atanu Biswas; Ajay Panwar

doi:10.5334/tohm.301

Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus

Tremor and Other Hyperkinetic Movements

Volume 6 (2016): Issue 0

By: Ujjawal Roy, Shyamal Kumar Das, Adreesh Mukherjee, Debsadhan Biswas, Koushik Pan, Atanu Biswas and Ajay Panwar

Open Access

|Aug 2016

Figures & Tables

Video 1

Initial Presentation. The patient had a distal and proximal choreoathetoid movements of the left upper and lower limbs (upper more than lower) and intermittent dyskinesia of the tongue and face along with infrequent proximal ballistic swings involving the left arm.

Brain Computed Tomography. The scan revealed hyperdensity of the lentiform and caudate nuclei that was more prominent on the right side.

Brain Magnetic Resonance Imaging. Axial T1 (A) and coronal (C) sequences showing hyperintensity of the right putamen (single arrow) and caudate nucleus (double arrow) that enhanced mildly on contrast (B) with a normal gradient echo sequence (D).

Video 2

Presentation 6 Months After Therapy Initiation: The movements of the patient persisted even at 6 months after initiation of therapy.

DOI: https://doi.org/10.5334/tohm.301 | Journal eISSN: 2160-8288

Journal RSS Feed

Language: English

Submitted on: Apr 7, 2016

Accepted on: Jul 7, 2016

Published on: Aug 5, 2016

Published by: Columbia University Libraries/Information Services

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

Hemichorea–hemiballism,

nonketotic hyperglycemia,

magnetic resonance spectroscopy

© 2016 Ujjawal Roy, Shyamal Kumar Das, Adreesh Mukherjee, Debsadhan Biswas, Koushik Pan, Atanu Biswas, Ajay Panwar, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.

Previous article Volume 6 (2016): Issue 0 Next article

Irreversible Hemichorea–Hemiballism in a Case of Nonketotic Hyperglycemia Presenting as the Initial Manifestation of Diabetes Mellitus

Figures & Tables

Video 1

Initial Presentation. The patient had a distal and proximal choreoathetoid movements of the left upper and lower limbs (upper more than lower) and intermittent dyskinesia of the tongue and face along with infrequent proximal ballistic swings involving the left arm.

Figure 1

Brain Computed Tomography. The scan revealed hyperdensity of the lentiform and caudate nuclei that was more prominent on the right side.

Figure 2

Brain Magnetic Resonance Imaging. Axial T1 (A) and coronal (C) sequences showing hyperintensity of the right putamen (single arrow) and caudate nucleus (double arrow) that enhanced mildly on contrast (B) with a normal gradient echo sequence (D).

Video 2

Presentation 6 Months After Therapy Initiation: The movements of the patient persisted even at 6 months after initiation of therapy.

Paradigm

My account