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- Title
An Uncommon Hyperosmolar Nonketotic Condition.
- Authors
Çelikel, Elif; Kaya, Uğur Bilgay; Kaya, Birsen Uluca; Doğan, Hasan; Kayipmaz, Afsin Emre
- Abstract
Introduction: Hyperglycemia may present with neurological symptoms. This rare condition is called non-ketotic hemichorea-hemiballismus (HCHB). When investigating the causes of neurological symptoms in these cases, magnetic resonance imaging (MRI) imaging typically has a hyperintense appearance in T1 sections and a variable intense appearance in T2. Case report: A 68-year-old female patient was admitted to the emergency department with speech disorder. Blood sugar elevation and cranial tomography revealed hyperdense appearance in the left caudate nucleus and lentiform nucleus. The patient was hospitalized with a preliminary diagnosis of HCHB. Magnetic resonance in hyperintense T1W sequences in the nucleus caudatus hood and corpus on the left, putamen, globus pallidus, Significant hypointense signal changes were observed in T2W sequences. The patient was admitted to the hospital for treatment and his blood sugar regulation was restored. Conclusion: HCHB is a rare condition in emergency. After the regulation of blood sugar, neurological picture regression is observed. Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.
- Subjects
BLOOD sugar; CAUDATE nucleus; GLOBUS pallidus; MAGNETIC resonance imaging; SPEECH disorders
- Publication
Journal of Academic Emergency Medicine Case Reports / Akademik Acil Tip Olgu Sunumlari Dergisi, 2020, Vol 11, Issue 1, p7
- ISSN
1309-534X
- Publication type
Article
- DOI
10.33706/jemcr.592152