Hyperglycemia-associated Hemichorea-hemiballism: The Spectrum of Clinical Presentation
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- Ching Lee Phong
- Department of Endocrinology, Singapore General Hospital, Singapore
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- Chin Kek Peng
- Department of Endocrinology, Singapore General Hospital, Singapore
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- Wah Ek Soh Abel
- Department of Endocrinology, Singapore General Hospital, Singapore
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抄録
Hyperglycemia rarely manifests as hemichorea-hemiballism (HH), which is characterized by simple partial motor seizures. One of the difficulties in the management of hyperglycemia-induced HH is the failure to recognize this entity due to its relatively uncommon presentation. We herein present a case series of hyperglycemia-associated dyskinesias, highlighting the different possible clinical presentations of this entity. Both hyperglycemia and hyperosmolality are probable predisposing factors, while ketoacidosis has a protective role in preventing the dyskinesias. One of our patients had ketotic hyperglycemia leading to HH, a previously unreported finding. Early recognition of this entity is crucial as prompt glycemic control leads to the resolution of symptoms and signs.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (15), 1881-1884, 2015
一般社団法人 日本内科学会
