Chorea-ballismus in acute non-ketotic Hyperglycaemia

El Otmani, Hicham and Moutaouakil, Fettouma and Fadel, Hicham and El Ouafi, Nabila and Rafai, Mohammed Abdoh and El Moutaouakil, Bouchra and Slassi, Ilham (2009) Chorea-ballismus in acute non-ketotic Hyperglycaemia. Functional Neurology; New Trends in Interventional Neurosciences, 24 (3). pp. 129-132. ISSN 1971-3274

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Abstract

Diabetic patients during hyperglycaemic crises may present a rare syndrome characterised by a typical triad: unilateral involuntary movements (hemichoreahemiballism), radiological contralateral striatal abnormality, and rapid resolution of symptoms after glycae mic correction. This study reports a series of patients showing less usual aspects and also discusses the pathophysiology of this clinical-radiological syndrome. We included in this study four patients presenting choreic or ballic involuntary movements and in whom aetiological assessment revealed frank non-ketotic hyperglycaemia, without other abnormalities that could explain the movement disorder. All the patients underwent CT or MR brain imaging. The typical triad was present in only one case. Less classical aspects were more frequently found: movement disorders revealed diabetes in two patients and one patient had generalised chorea and strictly normal neuroimaging. Correction of blood glucose was not sufficient to improve symptoms in two cases. In one, abnormal movements persisted despite treatment with tetrabenazine. The clinical, radiological and outcome spectrum of the syndrome of chorea-ballismus induced by non-ketotic hyperglycaemia is heterogeneous and not restricted to a typical triad

Item Type:	Article
Uncontrolled Keywords:	Diabetes, hemichorea-hemiballism, hyperglycaemia, imaging
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.4 Malattie del sistema emopoietico, linfatico, ghiandolare; Malattie del sistema endocrino 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.8 Malattie del sistema nervoso e disturbi mentali (Classificare qui la Neuropsichiatria, la Neurologia) > 616.85 Malattie varie del sistema nervoso e disturbi mentali di diverso genere > 616.851 Malattia di Huntington (Classificare la corea e i disturbi coreici, ad eccezione della Malattia di Huntington, in 616.83)
Depositing User:	Danilo Dezzi
Date Deposited:	09 Jul 2012 11:19
Last Modified:	09 Jul 2012 11:19
URI:	http://eprints.bice.rm.cnr.it/id/eprint/3622

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