Title:

Encephalopathy, Hypoglycemia, and Flailing Extremities: A Case of Bilateral Chorea–Ballism Associated with Diabetic Ketoacidosis

Author(s):

Guerrero, Waldo R.
Okun, Michael S.
McFarland, Nikolaus R.

Date:

2012

Type:

Articles

Department:

Center for Parkinson's Disease and Other Movement Disorders

Volume:

2

Permanent URL:

http://hdl.handle.net/10022/AC:P:13893

Book/Journal Title:

Tremor and Other Hyperkinetic Movements

Abstract:

Background: Hypo/hyperglycemia is a known cause of chorea and hemiballism. The temporallobes, hippocampus, basal ganglia, and substantia nigra are most susceptible to hypoglycemic changes. Methods: We present a caseof bilateral chorea and bi-ballism accompanied by encephalopathyin the setting of severe hypoglycemia and diabetic ketoacidosis. The patient had brain MRI changes involving both caudate nuclei, temporal lobes, and hippocampi. Discussion: This case demonstrates the basal ganglia's vulnerability to hypoglycemia and the need for cautious evaluation of involuntary movements when they occur in the setting of encephalopathy.

Subject(s):

Neurosciences

Item views:

69

Metadata:

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