Weijing Wang1, Xiaomei Tang1, Hao Feng1, Fenghui Sun1, Lei Liu1, Gary B Rajah2, Fengchun Yu1. 1. Department of Neurology, Beijing Haidian Hospital, Beijing Haidian Section of Peking University Third Hospital, Beijing, P.R. China. 2. Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA.
Abstract
INTRODUCTION: Chorea is considered a special complication of diabetes mellitus. Here we report a case of chorea associated with non-ketotic hyperglycemia (NKH). PATIENT CONCERNS: The patient was a 79-year-old Asian woman. She had a history of type 2 diabetes mellitus more than 30 years, but with a poor control of blood sugar. She complained of acute onset of right limb involuntary activities, and being admitted to neurology department. DIAGNOSIS: The patient was then diagnosed with NKH chorea. INTERVENTIONS: Intravenous infusion of insulin was given to reduce blood glucose. Haloperidol was used to control motor symptoms. OUTCOMES: Her symptoms improved quickly after treatment. In the past year, the patient's blood sugar was well controlled and her chorea did not recur. LESSONS: If there are sudden abnormal movements in patients, in addition to thinking of chorea, hepatolenticular degeneration and other diseases, we should also pay attention to blood sugar, especially in diabetic patients with poor blood sugar control and negative ketone, we should consider the possibility of NKK chorea. CONCLUSIONS: NKH chorea is a special complication of diabetes.
INTRODUCTION: Chorea is considered a special complication of diabetes mellitus. Here we report a case of chorea associated with non-ketotic hyperglycemia (NKH). PATIENT CONCERNS: The patient was a 79-year-old Asian woman. She had a history of type 2 diabetes mellitus more than 30 years, but with a poor control of blood sugar. She complained of acute onset of right limb involuntary activities, and being admitted to neurology department. DIAGNOSIS: The patient was then diagnosed with NKH chorea. INTERVENTIONS: Intravenous infusion of insulin was given to reduce blood glucose. Haloperidol was used to control motor symptoms. OUTCOMES: Her symptoms improved quickly after treatment. In the past year, the patient's blood sugar was well controlled and her chorea did not recur. LESSONS: If there are sudden abnormal movements in patients, in addition to thinking of chorea, hepatolenticular degeneration and other diseases, we should also pay attention to blood sugar, especially in diabetic patients with poor blood sugar control and negative ketone, we should consider the possibility of NKK chorea. CONCLUSIONS: NKH chorea is a special complication of diabetes.
Authors: Mohamed H Yusuf; Mohammed A Alharthi; Abdulrahman S Alahmari; Gehan A Abdulaziz; Abdulaziz M Alqahtani; Fahad M Alshalfan; Yousef S Alanazi; Saeed M Alamri; Amal A Hawsawi; Rania A Alshaier; Assail N Almalki; Ahmed S Thabet; Aeyd J Alhashim; Ammar M Salawati; Faisal Al-Hawaj Journal: Cureus Date: 2022-01-11