Hyperglycemia Induced Reversible Hemiballismus as the Main Presentation of Newly Diagnosed Diabetes Mellitus

Waseem Zaid Alkilani¹, Hassan Tahir^1, , Nathan Gibb¹, Saad Ullah¹ and Nagadarshini Ramagiri Vinod¹

¹Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, Johnstown, PA 15905, USA

Cite this paper

Waseem Zaid Alkilani, Hassan Tahir, Nathan Gibb, Saad Ullah and Nagadarshini Ramagiri Vinod. Hyperglycemia Induced Reversible Hemiballismus as the Main Presentation of Newly Diagnosed Diabetes Mellitus. American Journal of Medical Case Reports. 2016; 4(7):245-247. doi: 10.12691/AJMCR-4-7-8

Abstract

Diabetes Mellitus commonly presents as polyuria, polydipsia, fatigue and polyphagia, though patients presenting with acute complications at the time of diagnosis are not uncommon. Stroke and neuropathies are the most common neurological complications of diabetes. Movement disorder like chorea and hemiballismus are very rarely associated with diabetes mellitus. Primary care physicians should be aware of these rare and complicit presentation of diabetes. We present a case of nonketotic hyperglycemic hemiballismus (NHH) with no acute abnormality seen on MRI brain.

Keywords

hemiballismus, hyperglycemia, nonketotic hemichorea/hemiballismus

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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