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KMID : 0882420100790010062
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Korean Journal of Medicine
2010 Volume.79 No. 1 p.62 ~ p.66
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A case of hyperglycemia-induced hemiballism-hemichorea associated with diabetic ketoacidosis
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Kim Hyun-Sung
Lee Seo-Hee
Kang Jun-Goo
Kim Chul-Sik
Ihm Sung-Hee
Yoo Hyung-Joon
Lee Seong-Jin
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Abstract
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Hemiballism-hemichorea (HB-HC) is defined as continuous, non-patterned, and involuntary movement involving one side of the body and is often associated with endocrine diseases such as diabetes mellitus (DM) and hyperthyroidism. In Korea, 16 cases of HB-HC associated with non-ketotic hyperglycemia have been reported. Here, we report the first known case of HB-HC associated with type 2 DM and diabetic ketoacidosis (DKA). A 32-year-old man visited our hospital complaining of hemichoreoballistic movement. The patient had no history of DM. In a neurological examination and laboratory tests, HB-HC associated with type 2 DM and DKA was diagnosed. The patient was immediately treated with intravenous hydration and insulin therapy, and completely recovered. DKA and non-ketotic hyperglycemia should be considered as a possible cause of HB-HC, although these are very rare. In HB-HC associated with DKA, strict blood glucose control is needed.
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KEYWORD
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Diabetes mellitus, Diabetic ketoacidosis, Hemiballism
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