• J Assoc Physicians India · Jun 2010

    Case Reports

    Mixed movement disorder as the presenting manifestation of non-ketotic hyperglycemia.

    • K Mugundhan, Arun Maski, J A Elanchezhian, V Rajkumar, A Thangaraj, and R Anbalagan.
    • Department of Medicine, Govt. Mohan Kumaramangalam Medical College and Hospital, Salem--1, Tamil Nadu.
    • J Assoc Physicians India. 2010 Jun 1; 58: 387-8.

    AbstractFocal neurological symptoms may provide the first clue to the presence of nonketotic hyperglycemia (NKH). We report a patient with hemichorea-hemiballism (HC-HB) as the first manifestation of NKH. CT Brain revealed hyperdensity in bilateral globus pallidus (GP) and putamen predominantly on right side. Blood sugar was 580 mg/dl and s. osmolality was 316 mosm/l. This condition resolved after correction of hyperglycemia. The possible mechanism by which NKH causes this condition is discussed.

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