Hyperglycemia-Induced Involuntary Movements: What You Should Know

-
Vol. 13 No. 1 : 2018 (237-242)

MOHD FAZRUL M MOHD FAZRUL M
TAN TL TAN TL

Abstract
Hemichorea-hemiballismus (HC-HB) is a movement disorder characterized by involuntary movements involving limbs on one side of the body. Many etiological factors were identified and these included stroke, infection, and neoplasm. However, acute hyperglycemia-induced HC-HB is less well known. We present two cases of non-ketotic hyperglycemia-induced HC-HB. The cases depicted here Illustrate that HC-HB can be the sole presentation from among a variety of neurological manifestations of poorly controlled diabetes which can be easily reversed when hyperglycemia is corrected.
Keywords : chorea, Diabetes mellitus, dyskinesias, hyperglycemia, movement disorders, neoplasm, stroke,
Abstrak
Hemichorea-hemiballismus (HC-HB) adalah gangguan pergerakan tidak terkawal yang melibatkan anggota sebelah badan. Terdapat banyak faktor etiologi yang dijumpai, termasuk strok, jangkitan, dan barah. Walaubagaimanapun, HC-HB yang disebabkan oleh hiperglisemia akut jarang dijumpai. Kami membentangkan dua kes HC-HB yang disebabkan oleh hiperglisemia. Kes-kes yang dibentangkan di sini menunjukkan bahawa HC-HB boleh menjadi antara gejala gangguan neurologi disebabkan diabetes yang tidak dikawal dan boleh dirawat sepenuhnya melalui rawatan bagi hiperglisemia.
Kata Kunci : chorea, diabetes mellitus, diskinesia, gangguan pergerakan, hiperglisemia, neoplasma, strok,

Correspondance Address
Dr. Tan Toh Leong. Department of Emergency Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-91456541 E-mail: sebastianttl@yahoo.co.uk