Hyperglycemic Hemicoreorea/Hemiballism
Juan Ignacio Pérez Santos1*, Ignacio Saguier Padilla1, Cynthia L. García Fernández1, Silvia S. Folgar1 and Flavio C.B. Mercado1
1 Neurology Division, Hospital de Clínicas “José de San Martín”, Universidad de Buenos Aires, Buenos Aires, Argentina.
*Corresponding Author: Juan Ignacio Pérez Santos, Neurology Division, Hospital de Clínicas “José de San Martín”, Universidad de Buenos Aires, Buenos Aires, Argentina.
DOI: https://doi.org/10.58624/SVOANE.2023.04.0116
Received: November 14, 2023 Published: December 13, 2023
We present a 70-year-old male, with a history of arterial hypertension (HTN), non-insulin requiring (NIR) type II diabetes, right hallux paronychia, anticoagulated due to atrial fibrillation (AF), ischemic stroke in 2018; who consulted in our center in August 2023, due a condition characterized by abnormal choreic/ballistic movements in the left hemi-body, which intensified during the subsequent 72 hours after onset. CT scan showed hyper-density in the right globus pallidus, in axial, coronal and sagittal slices. (Fig.1, 2 & 3). Blood tests showed non-ketotic hyperglycemia. Infectious focus of the hallux was drained and antibiotic and insulin therapy were provided. The patient normalized glucose values and completely improved the movements.
Citation: Perez Santos JI, Padilla IS, Fernandez CLG, Folgar SS, Mercado FCB. Hyperglycemic Hemicoreorea/Hemiballism. SVOA Neurology 2023, 4:6, 216.
