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Hyperosmolar Non-ketotic Hyperglycaemia: an Important and Reversible Cause of Acute Bilateral Ballismus

Overview
Journal BMJ Case Rep
Specialty General Medicine
Date 2012 Jun 26
PMID 22729344
Citations 2
Authors
Philip Milburn-McNulty
Benedict D Michael
Henry J Woodford
Andrew Nicolson
Affiliations
Soon will be listed here.
Abstract

An 83-year-old lady with type 2 diabetes mellitus was admitted to hospital with pneumonia. After 3 days of oral amoxicillin she developed ballism-choreiform movements of all four limbs. Her serum glucose and osmolality were raised. She had no factors suggestive of genetic or iatrogenic causes. A CT scan of the brain revealed bilateral putamen hyperintensities. She was started on tetrabenazine and subcutaneous insulin, which led to complete resolution of her symptoms.

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Hemi-Chorea in a Patient with Ketotic Hyperglycemia: An Unusual Presentation.

Satish P, Pujitha K, Agrawal N, Mathew T, Vidyasagar S J Clin Diagn Res. 2017; 11(5):OD24-OD25.

PMID: 28658838 PMC: 5483740. DOI: 10.7860/JCDR/2017/27266.9939.

Haemorrhagic stroke or hyperglycaemia?.

Jalota L, Luber S, Shrestha R, Patel A BMJ Case Rep. 2013; 2013.

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