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Hemichorea - hemiballismus in undiagnosed diabetes mellitus asian female patient associated with non ketotic hyperglycemia: putamenal and caudate nucleus lesions on magnetic resonance imaging

Rajkumar Prakashbhai Doshi, Viralkumar Patel, Keyur Patel, Maulik Patel.

Abstract
Hemichorea-Hemiballismus (HCHB) with corresponding putaminal T1 hyperintensity on MRI has occasionally been reported in diabetes mellitus (DM) type 2 with non ketotic hyperglycemia, which is believed to be pathogenetically related to HCHB. A 65 year female presented with fever, diarrhea, and involuntary movements on all 4 limbs in known case of diabetes mellitus type 2, hypertension, chronic heart failure and chronic renal failure. We report occurrence of HCHB in a female patient with DM type 2, Hypertension and acute renal failure.

Key words: Hemichorea-Hemiballismus, Hyperglycemia, MRI



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