Hyperglycaemic Hemichorea and Hyperglycaemic Hyperosmolar Syndrome in a Patient with HbA1c levels of 19.9%: A Rare and Potentially Reversible Case

Mariana Guerra; Gonçalo Silva; Daniela Marado; Jorge Fortuna; Armando Carvalho

doi:10.12890/2019_001305

Hyperglycaemic Hemichorea and Hyperglycaemic Hyperosmolar Syndrome in a Patient with HbA1c levels of 19.9%: A Rare and Potentially Reversible Case

Eur J Case Rep Intern Med. 2019 Dec 20;7(1):001305. doi: 10.12890/2019_001305. eCollection 2020.

Authors

Mariana Guerra¹, Gonçalo Silva¹, Daniela Marado¹, Jorge Fortuna¹, Armando Carvalho¹

Affiliation

¹ Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.

Abstract

Hemichorea is a rare clinical manifestation of type 2 diabetes mellitus. The patient presents with non-ketotic hyperglycaemia, hemichorea (characterized by rapid and involuntary movements of a specific part of the body) and the CT imaging reveals the presence of alterations involving the ganglia of the base^[1-3].

Learning points: Hemichorea is a rare clinical manifestation of type 2 diabetes mellitus associated with an uncontrolled disease.Hyperglycaemic hemichorea has a good prognosis.All diabetics need to maintain good metabolic control and control cardiovascular risk factors.

Keywords: Diabetes mellitus; hyperglycaemic hemichorea; hyperglycaemic hyperosmolar syndrome.