PO25-TH-10 Chorea-Ballismus in non-ketotic hyperglycaemic crisis

Otmani, Hicham El; Moutaouakil, F.; Fadel, Hiam Kamel; Rafai, M.A.; Moutawakil, Bouchra El

doi:10.1016/s0022-510x(09)71133-5

Cited by 6 publications

(7 citation statements)

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“…He had a history of diabetes mellitus and a history of hypertension for 4 years, MRI performed in the patient was on the 15days after onset, which implied that different MR imaging stages could occur. Our data demonstrated the finding of El Otmani H et al [18] in their latest paper; that is, the radiological spectrum of the chorea induced by non-ketotic hyperglycaemia is heterogeneous and not restricted to a typical triad.…”

Section: Discussionsupporting

confidence: 89%

Hemichorea in nonketotic hyperglycemia: Putamenal and cerebellum lesion on MR imaging

Zhou¹,

Wang²,

Chen³

et al. 2012

WJNS

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Hemichorea with corresponding putamenal T1 hyper-intensity and T2 hypointensity on MR imaging has occasionally been reported in diabetes mellitus with nonketotic hyperglycemia. However, the signal intensity in pu-tamenal and cerebellum lesion on MR imaging, which is believed to be pathogenetically related to hemichorea, is rarely documented in diabetes mellitus with nonketotic hyperglycemia. We describe a 57-year-old man with nonketotic hyperglycemic hemichorea on his right arm and legs, whose signal intensity in putamenal and cerebellum lesion was demonstrated by MR imaging

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Section: Discussionsupporting

confidence: 89%

Hemichorea in nonketotic hyperglycemia: Putamenal and cerebellum lesion on MR imaging

Zhou¹,

Wang²,

Chen³

et al. 2012

WJNS

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“…It is often described to have a typical triad; unilateral involuntary movements, contralateral striatal abnormality on imaging and resolution of symptoms after correction of hyperglycaemia 3 6. Imaging plays an important role to separate this entity from other causes of movement disorders for rapid and correct initiation of treatment.…”

Section: Introductionmentioning

confidence: 99%

Unilateral striatal CT and MRI changes secondary to non-ketotic hyperglycaemia

Johari

Hanafiah²,

Shahizon

et al. 2014

BMJ Case Reports

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SUMMARYA 62-year-old man presented with a right-sided hemichorea-hemiballismus secondary to underlying nonketotic hyperglycaemia. This condition is recognised to have a unique finding of unilateral basal ganglia lesion, which is hyperdense on CT and hyperintense on T1-weighted MRI. The clinical course of this condition is benign and has a good prognosis with early correction of the hyperglycaemia. BACKGROUND

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“…The sixth patient had bilateral upper extremity ballismus with both CT and MRI of the head showing nonspecific changes (Lee et al, 2011). Similarly, in a case series of three NKHCB patients who underwent CT imaging, two exhibited contralateral lesions of the basal ganglia, while the third patient, who had generalized chorea with no ballismic components, had no obvious abnormalities (El Otmani et al, 2009). Other patients with bilateral involuntary movements exhibit symmetric hyperattenuation of the lentiform nuclei on both CT and MRI imaging (Massaro et al, 2012).…”

Section: Discussionmentioning

confidence: 94%

“…NKHCB is characterized by hemichorea-hemiballism that resolves rapidly following glycemic control. Isolated cases of more generalized, atypical, and unremitting disorders have also been reported (El Otmani et al, 2009;Massaro et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Nonketotic Hyperglycemic Chorea-Ballism (NKHCB): An Atypical Case and a Review of Literature

Shabbir

Jadeja

2017

EJBM

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Nonketotic hyperglycemic chorea-ballism (NKHCB) is a rare movement disorder characterized by hemichoreahemiballism, contralateral striatal abnormality, and rapid resolution following glycemic control. We describe an atypical case of NKHCB in a 71-year-old female with uncontrolled type 2 diabetes exhibiting hemichorea and hemiballism limited to the right upper extremity. While NKHCB patients typically show abnormalities on computed tomography (CT) imaging of the head, a CT scan of our patient during the acute phase was unremarkable. The movements subsided following glycemic control and fluid administration. The current literature on NKHCB is sparse and largely limited to case reports and series. We discuss several typical and atypical presentations and findings on imaging.

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PO25-TH-10 Chorea-Ballismus in non-ketotic hyperglycaemic crisis

Cited by 6 publications

References 0 publications

Hemichorea in nonketotic hyperglycemia: Putamenal and cerebellum lesion on MR imaging

Hemichorea in nonketotic hyperglycemia: Putamenal and cerebellum lesion on MR imaging

Unilateral striatal CT and MRI changes secondary to non-ketotic hyperglycaemia

Nonketotic Hyperglycemic Chorea-Ballism (NKHCB): An Atypical Case and a Review of Literature

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