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conferenceseries
.com
Volume 3
October 03-04, 2018 Osaka, Japan
Pediatric Neurology & Medicine
3
rd
International conference on
N
euroscience
, N
euroradiology
and
I
maging
Neuroimaging 2018
October 03-04, 2018
J Pediatr Neurol Med 2018, Volume 3
DOI: 10.4172/2472-100X-C1-003
Hyperglycemia induced hemichorea-hemiballismus in a 71-year old female presenting with
involuntary unilateral movements: A case report
Michelle Regina L Castillo
University of the Philippines, Philippines
H
emichorea-hemiballismus is a rare presentation of non-ketotic hyperglycemia, usually involving elderly females. A 71-
year old female with poorly controlled diabetes, presented with a one-month history of involuntary unilateral movement
beginning with the left arm spreading to the ipsilateral lower extremity. Computed Tomography (CT) imaging of the brain
revealed non-specific hyper density in the right basal ganglia. Further work-up with the use of Magnetic Resonance Imaging
(MRI) was done showing abnormal signals in the right basal ganglia. In this case, we note the significance of detecting rare
findings in diabetic patients through different imaging modalities such as CT and MRI, as differentiated from other more
common pathologies causing neurologic symptoms. Prompt diagnosis would alert the clinician to the cause of the movement
disorder. Correcting the hyperglycemia reverses this condition.
michcastillo@gmail.com