Non-ketotic hyperglycemic hemichorea

Case contributed by Abdallah Alqudah
Diagnosis almost certain

Presentation

One-day history of right hemichorea and athetosis, on a background of diabetes mellitus.

Patient Data

Age: 60 years
Gender: Female

Asymmetrically hyperdense left putamen is seen.

Case Discussion

This patient has a long history of uncontrolled diabetes mellitus, presented to the emergency department with right hemichorea and athetosis. Gluco-check at the emergency department showed glucose of more than 600, suggestive of non-ketotic hyperglycemia.

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