Hemichorea. Hemiballism secondary to diabetic ketoacidosis.
DOI:
https://doi.org/10.32818/reccmi.a3n2a12Keywords:
hemiballism, hyperglicemia, diabetic ketoacidosis.Abstract
Hemicorea-hemibalism syndrome associated with hyperglycemia represents an infrequent neurological disorder characterized by involvement of the basal ganglia. Currently, only report of cases associated with non-ketotic states. We report the case of a patient with pathological history with a clinical of a week of rapid involuntary movements in the left extremities, persistent, aggravated by exertion and reduced with rest and sleep. The blood analytics highlights hyperglycemia and metabolic acidosis. Magnetic resonance evidence focal gliosis. Treatment with hydration and insulin infusion; evidenced the gradual improvement of extrapyramidal movements with metabolic control. The diagnosis of hemicorea-hemibalism secondary to diabetic ketoacidosis was proposed in a patient who debuted with hyperglycemic crisis.
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Copyright (c) 2018 Camilo Andrés García-Prada , Andrés David Villa-García , Rosangela Ramírez-Barranco , Aura Esther Cárdenas-Castro
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