Nonketotic Hyperglycemia Induced Dystonia in Middle Age
Authors/Creators
- 1. Department of Medicine, People's College of Medical Sciences and Research Centre, Bhopal
Description
Movement disorders are clinical syndrome with either excess or paucity of voluntary or involuntary movement
which is not related to weakness or spasticity (1). Causes of abnormal movements consist of neurological diseases like
Parkinson's disease, progressive supranuclear palsy, drug induced, idiopathic and some metabolic causes like uncontrolled
blood sugar level. Non-ketotic hyperglycemia (NKH) has been associated with various neurological disorders, and among
these, chorea-ballismus is one of the most frequently observed movement disorder. A patient presented to our hospital with
involuntary, jerky, unpredictable, non rhythmic, repetitive movements involving left upper and lower limb. On examination
his blood sugar level was high with no focal neurological deficit. He was started on insulin therapy. As his blood sugar level
came down to normal limits, his movements started disappearing.
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Additional details
References
- 1 Tiago Medina Salata, Lívia de Oliveira Antunes Bruno et al. Non ketotic with hyperglycemia with abnormal movements. Radiol Bras. 2017;50(5):338- 339. 2 Bizet J, Cooper CJ, Quansah R, Rodriguez E, Teleb M, Hernandez GT. Hyperglycemia, Basal Ganglia Syndrome (C-H-BG) in an uncontrolled diabetic patient with normal glucose levels on presentation. Am J Case Rep. 2014; 15: 143–146. 3 El Otmani H, Moutaouakil F, Fadel H, El Ouafi N, Abdoh Rafai M, El Moutaouakil B, et al. Chorea- ballismus in acute non-ketotic Hypergl-ycaemia. 2009;24(3):129-32. 4 Younes S, Cherif Y, Aissi M, Alaya W, Berriche O, Boughammoura A, et al. Seizures and movement disorders induced by hyperglycemia without ketosis in elderly Iran. J Neurol. 2014;13(3): 172–176.