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Case Reports

Nonketotic hyperglycemic hemichorea – a diagnostic challenge for the treating physician

Authors:

K. U. I. S. Gunathilake ,

University of Colombo, LK
About K. U. I. S.
Postgraduate Institute of Medicine
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S. R. Jayarathne,

Teaching Hospital, Anuradhapura, LK
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V. Sivasadana,

Teaching Hospital, Anuradhapura, LK
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M. I. M. Rifath,

Teaching Hospital, Anuradhapura, LK
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S. C. Weerasinghe

Teaching Hospital, Anuradhapura, LK
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Abstract

Non-ketotic hyperglycemic hemichorea (NHH) is a rare phenomenon occurring in patients with type II diabetes mellitus. The exact mechanisms for NHH is unclear. There are several proposed mechanisms involving GABA pathways. We report a case of a 63-year-old female who presented with Choreiform movements with characteristic CT changes of NHH, whose abnormal movements rapidly resolved with good glycaemic control.

How to Cite: Gunathilake KUIS, Jayarathne SR, Sivasadana V, Rifath MIM, Weerasinghe SC. Nonketotic hyperglycemic hemichorea – a diagnostic challenge for the treating physician. Sri Lanka Journal of Neurology. 2020;7(1):16–7. DOI: http://doi.org/10.4038/sljon.v7i1.41
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Published on 30 Dec 2020.
Peer Reviewed

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