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Mary Kate McCullen, Jeffrey Miller, Serge Jabbour,Kevin Furlong, Monika Shirodakar, Intekhab Ahmed,Steven Mandel. Expert Opinion: Chorea in the .Setting of Hyperglycemia: A case report and review of literature .Practical Neurology, April 2010.

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Article

Hyperglycemia Induced Reversible Hemiballismus as the Main Presentation of Newly Diagnosed Diabetes Mellitus

1Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, Johnstown, PA 15905, USA


American Journal of Medical Case Reports. 2016, Vol. 4 No. 7, 245-247
DOI: 10.12691/ajmcr-4-7-8
Copyright © 2016 Science and Education Publishing

Cite this paper:
Waseem Zaid Alkilani, Hassan Tahir, Nathan Gibb, Saad Ullah, Nagadarshini Ramagiri Vinod. Hyperglycemia Induced Reversible Hemiballismus as the Main Presentation of Newly Diagnosed Diabetes Mellitus. American Journal of Medical Case Reports. 2016; 4(7):245-247. doi: 10.12691/ajmcr-4-7-8.

Correspondence to: Hassan  Tahir, Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, Johnstown, PA 15905, USA. Email: hassantahir_01@hotmail.com

Abstract

Diabetes Mellitus commonly presents as polyuria, polydipsia, fatigue and polyphagia, though patients presenting with acute complications at the time of diagnosis are not uncommon. Stroke and neuropathies are the most common neurological complications of diabetes. Movement disorder like chorea and hemiballismus are very rarely associated with diabetes mellitus. Primary care physicians should be aware of these rare and complicit presentation of diabetes. We present a case of nonketotic hyperglycemic hemiballismus (NHH) with no acute abnormality seen on MRI brain.

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