Department of Neurology, Pakistan Emirates Military Hospital, Rawalpindi, Pakistan.
Department of Neurology, Army Medical College, Rawalpindi, Pakistan.
J Coll Physicians Surg Pak. 2021 Oct;31(10):1228-1230. doi: 10.29271/jcpsp.2021.10.1228.
Hemichorea-hemiballismus, secondary to hyperglycemia, is a rare but easily treatable condition that is usually associated with type II diabetes mellitus. This is a case of a 68- year lady, with long-standing, poorly controlled diabetes mellitus, who presented with disabling right-sided hemichorea-hemiballismus. The T1-weighted magnetic resonance imaging revealed hyperintensity in the basal ganglia. The abnormal movements subsided within a few days after achieving euglycaemia with insulin therapy. This case highlights the importance of treatment of hyperglycaemia in a diabetic patient presenting with acute or sub-acute abnormal movement disorder. Key Words: Hemichorea, Hemiballismus, Hyperglycemia, T-1 hyperintensity.
由于高血糖引起的偏侧舞蹈-投掷症是一种罕见但可治疗的病症，通常与 2 型糖尿病有关。这是一位 68 岁女性的病例，患有长期、控制不佳的糖尿病，表现为右侧偏侧舞蹈-投掷症。T1 加权磁共振成像显示基底节区高信号。经胰岛素治疗使血糖正常后，异常运动在几天内得到缓解。该病例强调了治疗伴有急性或亚急性异常运动障碍的糖尿病患者高血糖的重要性。关键词：偏侧舞蹈症，投掷症，高血糖，T1 高信号。
