Pallidal deep brain stimulation in a patient with nonketotic hyperglycemic hemichorea

ABSTRACT:

Background:

Hyperkinetic movement disorders secondary to brain tissue damage due to hyperglycemia are a rare complication of diabetes mellitus. Nonketotic hyperglycemic hemichorea (NH-HC) is characterized by a rapid onset of involuntary movements after increased serum glucose levels.

Case Description:

We report on a case of a 62-year-old male patient with a 28-year history of Type II diabetes mellitus with NH-HC following an infect-associated exacerbation of blood glucose levels. Choreiform movements of the right upper extremity, face, and trunk persisted 6 months after onset. Due to failure of conservative treatments, we opted for unilateral deep brain stimulation of the globus pallidus internus, which led to complete cessation of symptoms within a week after initial p

SUBMITTER: Jergas H 

PROVIDER: S-EPMC9990764 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature