Hemiballism-hemichorea as initial manifestation of diabetes mellitus type 2: case report

Authors

  • Renan Flávio de França Nunes UERN
  • Marcos Antonio de Souza UERN
  • Wogelsanger Oliveira Pereira
  • Rafael Fernandes de Queiroz Neto UERN
  • Aline Maria Cavalcante Gurgel UERN

Keywords:

dyskinesias, chorea, Diabetes mellitus type 2.

Abstract

ABSTRACT
The hemichorea-hemiballism (HCHB) is part of a continuous spectrum and involuntary movements in human body.  Diabetes mellitus is among the causes that may lead to this movement disorder. The presentation of HCHB in hyperglycemic state appears as a rare manifestation of this systemic metabolic disorder. It is associated with changes in brain imaging, such as computed tomography, constituting a syndrome of characterization and recent studies with a few literature reports. The following case is a patient who had initial symptoms of type 2 Diabetes mellitus with HCHB, complaining about polyuria and polydipsia. The patient presented at admission blood glucose range 586 mg/dl. A brain CT scan showed mild hyperdensity basal ganglia on the right. After control of blood glucose levels, the patient showed gradual symptoms improvement until remission of the clinical situation within 30 days with a new tomographic image revealing complete disappearance of the initial neurological injury.

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Author Biographies

Renan Flávio de França Nunes, UERN

Departamento de Ciências Biomédicas - Universidade do Estado do Rio Grande do Norte.

Marcos Antonio de Souza, UERN

Departamento de Ciências Biomédicas - Universidade do Estado do Rio Grande do Norte.

Wogelsanger Oliveira Pereira

Doutor em Ciências da Saúde pela UNIFESP, Professor Adjunto IV da Universidade do Estado do Rio Grande do Norte (UERN).

Rafael Fernandes de Queiroz Neto, UERN

Médico Residente em Medicida da Família e da Comunidade pela Universidade do Estado do Rio Grande do Norte.

Aline Maria Cavalcante Gurgel, UERN

Endocrinologista pela Unicamp e Professora da disciplina de Endocrinologia do curso de Medicina da UERN.

 

References

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Lai PH, Tien RD, Chang MH, Teng MM, Yang CF, Pan HB, et al. Chorea-ballismus with nonketotic hyperglycemia in primary diabetes mellitus. Am J Neuroradiol. 1996;17:1057-64.

Fernández EG, Imizcoz MG, Baños MPA, González-Reguera VMGH, Pereg LM, Mazo ES, et al. Hemibalismo secundario a descompensación hiperglucémica hiperosmolar. Endocrinol Nutr. 2008;55(7):308-10.

Lin JJ, Lin GY, Shih C, Shen WC. Presentation of striatal hyperintensity on T1-weighted MRI in patients with hemiballism-hemichorea caused by non-ketotic hyperglycemia: report of seven new cases and a review of literature. J Neurol. 2001;248:750-5.

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Felicio AC, Chang CV, Godeiro-Junior C, Okoshi MP, Ferraz HB. Hemichorea-hemiballism as the first presentation of type 2 diabetes mellitus. Arq Neuro-Psiquiatr. 2008;66(2A):249-50.

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Additional Files

Published

2014-04-01

How to Cite

1.
Nunes RF de F, Souza MA de, Pereira WO, Queiroz Neto RF de, Gurgel AMC. Hemiballism-hemichorea as initial manifestation of diabetes mellitus type 2: case report. Rev. Fac. Ciênc. Méd. Sorocaba [Internet]. 2014Apr.1 [cited 2024Nov.23];16(1):43-5. Available from: https://revistas.pucsp.br/index.php/RFCMS/article/view/15525

Issue

Vol. 16 No. 1 (2014)

Section

Case Report

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