Case Report
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Year 2020, Volume: 11 Issue: 1, 7 - 8, 10.09.2020
https://doi.org/10.33706/jemcr.592152

Abstract

References

  • Referans1 Hedge A.N., Mohan S., Lath N.,Lim T. Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus. RadioGraphics 2011;31:5-30. https://doi.org/10.1148/rg.311105041
  • Referans2 Abd-Samat A.h., Embong H. Hemichorea hemiballismus in a patient with hyperglycaemic hyperosmolar state, a reversible neurological outcome of metabolic disorder. Hong Kong j. Emerg. Med.2017;24:93-95. https://doi.org/10.1177%2F102490791702400208
  • Referans3 Herath H.M.M.T.B, Pahalagamage S.P, Senanayake S. Case report of hyperglycemic nonketotic chorea with rapid radiological resolution. BMC Medical Imaging. 2017; https://doi.org/10.1186/s12880-017-0228-2
  • Referans4 Cho H.S, Hong C.T, Chan L. Hemichorea after hypergkycemia correction. A case report and a short review of hyperglycemia-related hemichorea at the euglycemic state. Medicine 2018;97:10. DOİ:10.1097/MD:0000000000010076
  • Referans5 Chu K., Kang D.W., Kim D.E., Park S.H.,Roh J.K. Diffusion-Weighted and Gradient Echo Magnetic Resonance Finding of Hemichorea-Hemiballismus Associated With Diabetic Hyperglycemia. A Hyperviscocity Syndrome?. ArchNeurol. 2002;59(3):448-452. Doi:10.1001/archneur.59.3.448
  • Referans6 Hansford B.G., Albert D., Yang E. Classic Neuroimaging findings of non ketotic hyperglycemia on computed tomography and magnetic resonance imaging with absence of typical movement disorder symptoms (hemichorea-hemiballism). Radiology Case. 2013 Aug;7(8):1-9.Doi:10.3941/jrcr.v7i8.1470
  • Referans7 Yacoub H. A. Abnormal Magnetic Resonance İmaging and Hemichorea Associated With Non-Ketotic Hyperglycemia. J NeurolRes. 2013;3(5):146-149. Doi:doi.org/10.402/jnr233e
  • Referans8 Roy U., Das S.K.,Mukherjee A., Biswas D., Pan K., Biswas A., Pawer A. Irreversible Hemichorea-Hemiballism İn a case of Nonketotic Hyperglycemia Presenting as the İnitial Manifestation of Diabetes Mellitus. Tremor Other Hyperkinet Mov. 2016;6. Doi:10.7916/D8QZ2B3F.
  • Referans9 Unilateral Putaminal CT, MR, and Diffusion Abnormalities Secondary to Nonketotic Hyperglycemia in the Setting of Acute Neurologic Symptoms Mimicking Stroke.Max Wintermark, Nancy J. Fischbein, Pratik Mukherjee, Esther L. Yuh, and William P. Dillon

An Uncommon Hyperosmolar Nonketotic Condition

Year 2020, Volume: 11 Issue: 1, 7 - 8, 10.09.2020
https://doi.org/10.33706/jemcr.592152

Abstract

Hyperglycemia may present with neurological symptoms. This rare condition is called non-ketotic hemichorea-hemiballismus (HCHB). When investigating the causes of neurological symptoms in these cases, magnetic resonance imaging (MRI) imaging typically has a hyperintense appearance in T1 sections and a variable intense appearance in T2. A 68-year-old female patient was admitted to the emergency department with speech disorder. Blood sugar elevation and cranial tomography revealed hyperdense appearance in the left caudate nucleus and lentiform nucleus. The patient was hospitalized with a preliminary diagnosis of HCHB. Magnetic resonance in hyperintense T1W sequences in the nucleus caudatus hood and corpus on the left, putamen, globus pallidus, Significant hypointense signal changes were observed in T2W sequences. The patient was admitted to the hospital for treatment and his blood sugar regulation was restored. HCHB is a rare condition in emergency. After the regulation of blood sugar, neurological picture regression is observed. Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.

References

  • Referans1 Hedge A.N., Mohan S., Lath N.,Lim T. Differential Diagnosis for Bilateral Abnormalities of the Basal Ganglia and Thalamus. RadioGraphics 2011;31:5-30. https://doi.org/10.1148/rg.311105041
  • Referans2 Abd-Samat A.h., Embong H. Hemichorea hemiballismus in a patient with hyperglycaemic hyperosmolar state, a reversible neurological outcome of metabolic disorder. Hong Kong j. Emerg. Med.2017;24:93-95. https://doi.org/10.1177%2F102490791702400208
  • Referans3 Herath H.M.M.T.B, Pahalagamage S.P, Senanayake S. Case report of hyperglycemic nonketotic chorea with rapid radiological resolution. BMC Medical Imaging. 2017; https://doi.org/10.1186/s12880-017-0228-2
  • Referans4 Cho H.S, Hong C.T, Chan L. Hemichorea after hypergkycemia correction. A case report and a short review of hyperglycemia-related hemichorea at the euglycemic state. Medicine 2018;97:10. DOİ:10.1097/MD:0000000000010076
  • Referans5 Chu K., Kang D.W., Kim D.E., Park S.H.,Roh J.K. Diffusion-Weighted and Gradient Echo Magnetic Resonance Finding of Hemichorea-Hemiballismus Associated With Diabetic Hyperglycemia. A Hyperviscocity Syndrome?. ArchNeurol. 2002;59(3):448-452. Doi:10.1001/archneur.59.3.448
  • Referans6 Hansford B.G., Albert D., Yang E. Classic Neuroimaging findings of non ketotic hyperglycemia on computed tomography and magnetic resonance imaging with absence of typical movement disorder symptoms (hemichorea-hemiballism). Radiology Case. 2013 Aug;7(8):1-9.Doi:10.3941/jrcr.v7i8.1470
  • Referans7 Yacoub H. A. Abnormal Magnetic Resonance İmaging and Hemichorea Associated With Non-Ketotic Hyperglycemia. J NeurolRes. 2013;3(5):146-149. Doi:doi.org/10.402/jnr233e
  • Referans8 Roy U., Das S.K.,Mukherjee A., Biswas D., Pan K., Biswas A., Pawer A. Irreversible Hemichorea-Hemiballism İn a case of Nonketotic Hyperglycemia Presenting as the İnitial Manifestation of Diabetes Mellitus. Tremor Other Hyperkinet Mov. 2016;6. Doi:10.7916/D8QZ2B3F.
  • Referans9 Unilateral Putaminal CT, MR, and Diffusion Abnormalities Secondary to Nonketotic Hyperglycemia in the Setting of Acute Neurologic Symptoms Mimicking Stroke.Max Wintermark, Nancy J. Fischbein, Pratik Mukherjee, Esther L. Yuh, and William P. Dillon
There are 9 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Case Report
Authors

Elif Çelikel 0000-0001-5597-7757

Uğur Bilgay Kaya This is me 0000-0003-0417-1467

Birsen Uluca Kaya This is me 0000-0002-2035-6974

Hasan Dogan This is me 0000-0003-2924-8707

Afsin Emre Kayipmaz This is me 0000-0002-3578-4015

Publication Date September 10, 2020
Submission Date October 2, 2019
Published in Issue Year 2020 Volume: 11 Issue: 1

Cite

APA Çelikel, E., Kaya, U. B., Uluca Kaya, B., Dogan, H., et al. (2020). An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports, 11(1), 7-8. https://doi.org/10.33706/jemcr.592152
AMA Çelikel E, Kaya UB, Uluca Kaya B, Dogan H, Kayipmaz AE. An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports. September 2020;11(1):7-8. doi:10.33706/jemcr.592152
Chicago Çelikel, Elif, Uğur Bilgay Kaya, Birsen Uluca Kaya, Hasan Dogan, and Afsin Emre Kayipmaz. “An Uncommon Hyperosmolar Nonketotic Condition”. Journal of Emergency Medicine Case Reports 11, no. 1 (September 2020): 7-8. https://doi.org/10.33706/jemcr.592152.
EndNote Çelikel E, Kaya UB, Uluca Kaya B, Dogan H, Kayipmaz AE (September 1, 2020) An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports 11 1 7–8.
IEEE E. Çelikel, U. B. Kaya, B. Uluca Kaya, H. Dogan, and A. E. Kayipmaz, “An Uncommon Hyperosmolar Nonketotic Condition”, Journal of Emergency Medicine Case Reports, vol. 11, no. 1, pp. 7–8, 2020, doi: 10.33706/jemcr.592152.
ISNAD Çelikel, Elif et al. “An Uncommon Hyperosmolar Nonketotic Condition”. Journal of Emergency Medicine Case Reports 11/1 (September 2020), 7-8. https://doi.org/10.33706/jemcr.592152.
JAMA Çelikel E, Kaya UB, Uluca Kaya B, Dogan H, Kayipmaz AE. An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports. 2020;11:7–8.
MLA Çelikel, Elif et al. “An Uncommon Hyperosmolar Nonketotic Condition”. Journal of Emergency Medicine Case Reports, vol. 11, no. 1, 2020, pp. 7-8, doi:10.33706/jemcr.592152.
Vancouver Çelikel E, Kaya UB, Uluca Kaya B, Dogan H, Kayipmaz AE. An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports. 2020;11(1):7-8.