Open AccessHemichorea Hyperglycaemia Basal Ganglia Syndrome in a Patient with Type 1 Diabetes Mellitus: A Rare Case Report
Author(s) -
Swathi Gurursamy,
Kalaimani Sivamani,
Selvaraj Pitchai,
Ameya Sanjay Chogle
Publication year - 2020
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2020/44147.13810
Subject(s) - chorea , medicine , basal ganglia , type 2 diabetes mellitus , movement disorders , diabetes mellitus , pediatrics , basal (medicine) , endocrinology , disease , central nervous system
Hyperglycaemia induced involuntary movements are uncommon in clinical practice though Chorea Hyperglycaemia Basal Ganglia syndrome (CHBG) or Non-ketotic Hyperglycaemic Hemichorea (NHH) is being reported with increasing frequency due to the clinical awareness and widespread availability of neuroimaging. Prompt recognition of CHBG is essential, since correction of hyperglycaemia usually leads to early resolution of the involuntary movements. It is usually seen in elderly patients with uncontrolled Type 2 diabetes mellitus who present acutely with hemichorea or hemiballismus. It is rarely reported in Type 1 diabetes mellitus. Here, the author presents a 25-year-old male patient diagnosed with Type 1 diabetes mellitus with persistent chorea involving the left upper and lower extremity in whom the movement disorder persisted despite correction of hyperglycaemia.