Hyperglycemia Induced Hemichoreoathetosis, An Uncommon Presenting Symptom of Diabetes Mellitus

Chorea is brief, quasi-purposeful, irregular muscle contractions, not repetitive or rhythmic, but flows from one muscle to the next and athetosis is slow, writhing, continuous, worm-like movements of distal extremities (chiefly the fingers) which show bizarre positioning without posturing. Metabolic...

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Bibliographic Details
Main Authors: Sethu Prabhu Shankar, Neelakandan Ramya, Gopalakrishnan Vikraman, Ratchagan Saravanan
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-08-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3953
Description
Summary:Chorea is brief, quasi-purposeful, irregular muscle contractions, not repetitive or rhythmic, but flows from one muscle to the next and athetosis is slow, writhing, continuous, worm-like movements of distal extremities (chiefly the fingers) which show bizarre positioning without posturing. Metabolic causes have been documented earlier, note worthy of that being Diabetes. Choreoathetosis has been reported earlier in diabetes mostly in an elderly female, diagnosed most often by Brain MRI. We report a case of hemichoreoathetosis in a male diabetic, whose involuntary movement completely resolved with glycemic control and diagnosis was easily confirmed with just a Brain CT.
ISSN:0044-6025
1735-9694