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Hemichorea caused by non-ketotic hyperglycemia in a Sri Lankan woman: A case report

Authors:

P. P. B. Herath ,

National Hospital, Kandy, LK
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W. K. S. Kularatne

National Hospital, Kandy, LK
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Abstract

Chorea is a hyperkinetic movement disorder characterized by involuntary, short-lasting,  random, and irregular contractions conveying a feeling of restlessness to the observer which may be caused by hereditary neurodegenerative diseases, damage to the deep brain structures, autoimmune disorders, metabolic derangements or certain drugs and hormones. Non-ketotic hyperglycemia is a well-described endocrine disturbance that can lead to hemichorea or generalized chorea where striatopathy is commonly found in imaging. Here we present a case of non-ketotic hyperglycemic hemichorea with typical striatopathy on neuroimaging. The choriform movements gradually resolved over two weeks after achieving blood sugar control and treatment with neuroleptics.

How to Cite: Herath, P.P.B. and Kularatne, W.K.S., 2021. Hemichorea caused by non-ketotic hyperglycemia in a Sri Lankan woman: A case report. Anuradhapura Medical Journal, 15(2), pp.24–27. DOI: http://doi.org/10.4038/amj.v15i2.7695
Published on 30 Dec 2021.
Peer Reviewed

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