| Hemichorea-hemiballismus in non-ketotic hyperglycaemia. | |
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MedLine Citation:
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PMID: 21159513 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Hemichorea-hemiballismus is a rare complication of nonketotic hyperglycaemia in type 2 diabetes. It is associated with contralateral striatal radiological abnormality, most typically T1 hyperintensity on MRI. We report a case of a 91 year old woman who presented in a nonketotic hyperglycaemic state with right sided hemichorea. Brain CT revealed hyperdensity of the left lentiform nucleus and MRI 15 days post presentation showed left lentiform T1 hyperintensity and enlargement. The chorea improved after control of blood glucose levels. The pathophysiology of this syndrome remains controversial. It is likely that a combination of hyerglycaemia induced basal ganglia metabolic derangement and failure of cerebral blood flow autoregulation contribute to the syndrome. |
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Authors:
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H Cheema; D Federman; A Kam |
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Publication Detail:
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Type: Journal Article Date: 2010-12-14 |
Journal Detail:
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Title: Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia Volume: 18 ISSN: 1532-2653 ISO Abbreviation: J Clin Neurosci Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-17 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9433352 Medline TA: J Clin Neurosci Country: Scotland |
Other Details:
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Languages: eng Pagination: 293-4 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Radiology, Alfred Hospital, Commercial Road, Prahran, Victoria 3181, Australia. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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