Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review
Non-ketotic hyperglycemia-induced hemichorea-hemiballism (NKHHH) is an infrequent hyperkinetic movement disorder, also known as diabetic striatopathy or Chorea hyperglycemia basal ganglia syndrome (C-H-BG), characterized by repetitive, uncontrollable movements in the unilateral or bilateral limbs. A...
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| Language: | English |
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Amaltea Medical Publishing House
2024-09-01
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| Series: | Romanian Journal of Neurology |
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| Online Access: | https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-14.pdf |
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| author | Praveen K. Sharma Abdul Majith Seeni Mohammed Seetha Rashi Sakthi Ganesh Subramonian |
| author_facet | Praveen K. Sharma Abdul Majith Seeni Mohammed Seetha Rashi Sakthi Ganesh Subramonian |
| author_sort | Praveen K. Sharma |
| collection | DOAJ |
| description | Non-ketotic hyperglycemia-induced hemichorea-hemiballism (NKHHH) is an infrequent hyperkinetic movement disorder, also known as diabetic striatopathy or Chorea hyperglycemia basal ganglia syndrome (C-H-BG), characterized by repetitive, uncontrollable movements in the unilateral or bilateral limbs. An insult to the contralateral basal ganglia causes NKHHH to develop. NKHHH is caused by ischemia, followed by non-ketotic hyperglycemia and poorly controlled diabetes. NKHHH is a rare condition with a unique cause that only affects one side of the corpus striatum (caudate nucleus and putamen). Clinical events of hemichorea-hemiballism, laboratory tests (elevated blood glucose and hemoglobin A1c levels), and imaging modalities (computed tomography and magnetic resonance imaging) all contribute to diagnosing NKHHH. The objective of this case report is to represent cross-sectional imaging findings in a 55-year-old female who presented with hemichorea-hemiballism following non-ketotic hyperglycemia. In conclusion, the clinical manifestation of NKHHH and its
computed tomography (CT) and magnetic resonance imaging (MRI) findings are crucial in determining the appropriate management. |
| format | Article |
| id | doaj-art-5b257cd407e547d39e84dcb6c42f1cbc |
| institution | Kabale University |
| issn | 1843-8148 2069-6094 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Amaltea Medical Publishing House |
| record_format | Article |
| series | Romanian Journal of Neurology |
| spelling | doaj-art-5b257cd407e547d39e84dcb6c42f1cbc2024-12-11T10:43:25ZengAmaltea Medical Publishing HouseRomanian Journal of Neurology1843-81482069-60942024-09-0123331632310.37897/RJN.2024.3.14Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature reviewPraveen K. Sharma0Abdul Majith Seeni Mohammed1Seetha Rashi2Sakthi Ganesh Subramonian3Department of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, IndiaDepartment of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, IndiaDepartment of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, IndiaDepartment of Radiology, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences (SIMATS), Saveetha University, Chennai, Tamil Nadu, IndiaNon-ketotic hyperglycemia-induced hemichorea-hemiballism (NKHHH) is an infrequent hyperkinetic movement disorder, also known as diabetic striatopathy or Chorea hyperglycemia basal ganglia syndrome (C-H-BG), characterized by repetitive, uncontrollable movements in the unilateral or bilateral limbs. An insult to the contralateral basal ganglia causes NKHHH to develop. NKHHH is caused by ischemia, followed by non-ketotic hyperglycemia and poorly controlled diabetes. NKHHH is a rare condition with a unique cause that only affects one side of the corpus striatum (caudate nucleus and putamen). Clinical events of hemichorea-hemiballism, laboratory tests (elevated blood glucose and hemoglobin A1c levels), and imaging modalities (computed tomography and magnetic resonance imaging) all contribute to diagnosing NKHHH. The objective of this case report is to represent cross-sectional imaging findings in a 55-year-old female who presented with hemichorea-hemiballism following non-ketotic hyperglycemia. In conclusion, the clinical manifestation of NKHHH and its computed tomography (CT) and magnetic resonance imaging (MRI) findings are crucial in determining the appropriate management.https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-14.pdfhyperglycemiachoreahyperkinesiscaudate nucleuscomputed tomographymagnetic resonance imaging |
| spellingShingle | Praveen K. Sharma Abdul Majith Seeni Mohammed Seetha Rashi Sakthi Ganesh Subramonian Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review Romanian Journal of Neurology hyperglycemia chorea hyperkinesis caudate nucleus computed tomography magnetic resonance imaging |
| title | Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review |
| title_full | Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review |
| title_fullStr | Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review |
| title_full_unstemmed | Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review |
| title_short | Non-ketotic hyperglycemia-induced hemichoreahemiballism – A case presentation and literature review |
| title_sort | non ketotic hyperglycemia induced hemichoreahemiballism a case presentation and literature review |
| topic | hyperglycemia chorea hyperkinesis caudate nucleus computed tomography magnetic resonance imaging |
| url | https://rjn.com.ro/articles/2024.3/RJN_2024_3_Art-14.pdf |
| work_keys_str_mv | AT praveenksharma nonketotichyperglycemiainducedhemichoreahemiballismacasepresentationandliteraturereview AT abdulmajithseenimohammed nonketotichyperglycemiainducedhemichoreahemiballismacasepresentationandliteraturereview AT seetharashi nonketotichyperglycemiainducedhemichoreahemiballismacasepresentationandliteraturereview AT sakthiganeshsubramonian nonketotichyperglycemiainducedhemichoreahemiballismacasepresentationandliteraturereview |