Recurrent Diabetic Hemichorea Associated with Hyperglycemia.

DOI Web Site 17 References
  • Fujita Rie
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Tsukuba Memorial Hospital
  • Takahashi Akimitsu
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Tsukuba Memorial Hospital
  • Sato Hiroaki
    Department of Neurosurgery, Tsukuba Memorial Hospital
  • Ayuzawa Satoshi
    Department of Neurosurgery, Tsukuba Memorial Hospital
  • Sugimoto Koichi
    Department of Neurosurgery, Tsukuba Memorial Hospital
  • Kobayashi Eiki
    Department of Neurosurgery, Tsukuba Memorial Hospital
  • Matsushima Teruhiko
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Tsukuba Memorial Hospital
  • Yamashita Kamejiro
    Division of Endocrinology and Metabolism, Department of Internal Medicine, Tsukuba Memorial Hospital

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Other Title
  • 血糖コントロール悪化に伴い，不随意運動の再発をみたＤｉａｂｅｔｉｃ　ｈｅｍｉｃｈｏｒｅａの１例
  • ショウレイ ホウコク ケットウ コントロール アッカ ニ トモナイ,フズイイ ウンドウ ノ サイハツ オ ミタ Diabetic hemichorea ノ 1レイ

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Abstract

A 71-year-old man with a 5 to 6-year history of poorly controlled type 2 diabetes mellitus was admitted for involuntary movement (hemichorea) of the right upper and lower extremities.Plasma glucose was 456-767mg/dl, and HbA1c 13.8%. Magnetic resonance imaging (MRI) showed hyperintensity on T 1-weighted images in the left putamen and caudate nucleus.Involuntary movements were resolved in l month when plasma glucose was corrected by diet and oral medication. After discharge, hyperglycemia recurred and poor diabetic control persisted. Eight months later, he was readmitted with hyperglycemia, and his plasma glucose was 515mg/dl and HbA1c 12.1%. On the second admission, involuntary movement recurred in the right leg. His diabetic hemichorea-hemiballism was thus a novel diabetic complication.

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