Ocular flutter and myoclonus in hyperosmolar hyperglycemic state

Nysten, Céline; Vanhee, Annelies; Govaerts, Anneke; Demeestere, Jelle

doi:10.1007/s13760-020-01540-x

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Myoclonus as the presenting feature of diabetic amyotrophy has also been described [ 12 13 ]. Ocular flutter with myoclonus has been causally associated with hyperosmolar hyperglycemic state [ 14 ]; however, in that case, the patient had also uremia and subarachnoid hemorrhage [ 14 ]. Opsoclonus and myoclonus have also been reported in hyperosmolar hyperglycemic state [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Faciobrachial Myoclonus as the Presenting Manifestation of Diabetic Keto-Acidosis

Chatterjee

Ghosh

Kumari

et al. 2021

Tremor and Other Hyperkinetic Movements

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Background: Chorea and ballism are well-recognized acute potentially reversible movement disorders as the presenting manifestation of non-ketotic hyperglycemic states among older type-2 diabetics. Myoclonus as the form of presentation of diabetic keto-acidosis (DKA) in previously undiagnosed type-1 diabetic has never been reported before. Case report: We herein report the case of a 36-year-old previously healthy patient who presented with acute onset incessant faciobrachial myoclonus for 10 days. The patient was found to be suffering from DKA and eventually diagnosed as type-1 diabetes mellitus. Myoclonus disappeared with achieving euglycemia and did not recur. Discussion: Apart from expanding the spectrum of acute movement disorder among diabetics, this case reiterates the importance of rapid bedside measurement of capillary blood glucose in all patients presenting with acute onset abnormal movements irrespective of their past glycemic status. This simple yet life-saving approach can clinch the diagnosis at the earliest and thus will avoid costly investigations and mismanagement.

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Section: Discussionmentioning

confidence: 99%

Faciobrachial Myoclonus as the Presenting Manifestation of Diabetic Keto-Acidosis

Chatterjee

Ghosh

Kumari

et al. 2021

Tremor and Other Hyperkinetic Movements

View full text Add to dashboard Cite

show abstract

“…The neurological complications of NKH include focal seizures, epilepsia partialis continua, chorea-hemiballismus, hemiparesis, hemianopia, ocular flutter, encephalopathy and coma [ 5 ]. Occipital seizures are associated with reversible subcortical T2/fluid attenuation inversion recovery (FLAIR) hypointensities.…”

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confidence: 99%