Non-resolving, Progressive, Non-ketotic Hyperglycemic Hemichorea-Hemiballismus Syndrome in an Elderly Male
Year: 2025
Type: article
Study design: Case Report
Abstract: Non-ketotic hyperglycemic hemichorea-hemiballismus syndrome is a rare neurological condition associated with hyperglycemia from uncontrolled diabetes mellitus. We present a case of a male patient in his late 80s with a background of T2DM who presented with a new onset of progressive involuntary movements involving the left side of his body. Imaging revealed hyperdensity in the right basal ganglia, suggestive of non-ketotic hyperglycemic hemichorea. Management included glycemic control and neuroleptic treatment, with resolution of symptoms in most cases. This case highlights the importance of considering metabolic causes of hemichorea-hemiballismus in elderly patients, glycemic control, and the correlation of these factors with quality of life.
Source: Cureus
DOI: 10.7759/cureus.94603
Authors: Akash Chandani, Cyrine Cunanan, Sumathi Krishnan, Omar Rage
Institution: North Middlesex Hospital
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4415215776