{Reference Type}: Case Reports
{Title}: Acute hemichorea in a newly diagnosed type II diabetes patient: a diagnostic challenge in resource-limited setting: a case report.
{Author}: Ruhangisa F;Stephen H;Senkondo J;Mwasamwaja A;Kanenda S;Mbarak S;Chamba N;Kilonzo K;Howlett W;Lyaruu I;Shao E;
{Journal}: BMC Res Notes
{Volume}: 9
{Issue}: 1
{Year}: Aug 2016 22
暂无{DOI}: 10.1186/s13104-016-2228-7
{Abstract}: <B>BACKGROUND: </B>Chorea is a rare complication of uncontrolled type II diabetes. We report for the first time in Tanzania a case of type II diabetes presenting with a hyperglycaemia-induced hemichorea.<BR><B>METHODS: </B>A 58-year-old Tanzanian chagga by tribe with a body mass index of 28 kg/m(2) and newly diagnosed type II diabetes presented with polydipsia and involuntary movements of the right upper limb for 4 days. His plasma glucose was 549 mg/dl and glycated haemoglobin was 18.9 %. His movements were exaggerated by attempts to use his right hand. The rest of his neurological assessment was unremarkable. Other laboratory findings including calcium were within the normal range. A computed tomography scan of the brain was essentially normal except for age-related atrophy. There was no significant ketonuria on urine dipstick testing. We treated the patient's hyperglycaemia with intravenous insulin and the dystonia disappeared within 5 days.<BR><B>CONCLUSIONS: </B>Hemichorea is among the rare complications of hyperglycaemia-induced involuntary movements. Hyperglycaemia should be considered as a differential diagnosis for patients with type II diabetes mellitus presenting with hemichorea upon clinical assessment.