• J Emerg Med · Mar 2016

    Case Reports

    Nonketotic Hyperglycemia Presenting as Monoballism.

    • Amitesh Aggarwal, Nitin Bansal, and Raghav Aggarwal.
    • Department of Medicine, University College of Medical Sciences, Delhi University, Delhi, India.
    • J Emerg Med. 2016 Mar 1; 50 (3): e133-4.

    BackgroundMonoballismus is rarely seen clinically, but when observed, it is usually a manifestation of an acute cerebrovascular accident (CVA). We report a case of monoballismus observed in a patient without evidence of a CVA.Case ReportWe observed a case of monoballismus in a 60-year-old diabetic patient who had not had a stroke. The movement disorder resolved with improvement of the patient's hyperglycemia. Nonketotic hyperglycemia is an uncommon cause of ballismus. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should include the movement disorder of ballismus among the potential clues that a patient may be suffering an acute CVA. However, noncerebrovascular causes of ballismus exist. The movements manifest by a patient with ballismus should also lead the physician to consider the possibility not only of a CVA, but also neuroleptic malignant and serotonin syndromes.Copyright © 2016 Elsevier Inc. All rights reserved.

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