A Case of Type 2 Diabetes Mellitus Initially Presented as Monochorea Associated with Ketotic Hyperglycemia.

Lee,  Si Hyeong; Lee,  Dong Woo; Lee,  Yeong Min; Kim,  Tae Kyun; Kwon,  Min Jeong; Lee,  Soon Hee; Park,  Jeong Hyun

doi:2014.15.4.244

J Korean Diabetes > Volume 15(4); 2014 > Article

Case Report

The Journal of Korean Diabetes 2014;15(4):244-247.
DOI: https://doi.org/10.4093/jkd.2014.15.4.244 Published online December 29, 2014.

케톤성 고혈당과 관련된 단무도증으로 처음 진단된 당뇨병 1예

이시형, 이동우, 이영민, 김태균, 권민정, 이순희, 박정현

A Case of Type 2 Diabetes Mellitus Initially Presented as Monochorea Associated with Ketotic Hyperglycemia.

Si Hyeong Lee, Dong Woo Lee, Yeong Min Lee, Tae Kyun Kim, Min Jeong Kwon, Soon Hee Lee, Jeong Hyun Park

Department of Internal Medicine, Inje University Pusan Paik Hospital, Pusan, Korea. koma911@naver.com

Abstract

Monoballismus-monochorea is abnormal neurologic sign characterized by continuous, involuntary and irregular movement involving one extremity. Hyperglycemic ballism-chorea is predominantly observed in older type 2 diabetic patients and non-ketotic hyperglycemia, and is associated with contralateral striatal hyperintensities (i.e., putamen and caudate) on both brain CT and MRI. Movement disorders as the initial symptoms of diabetes mellitus are rare, especially in ketotic hyperglycemia. Here, we report one of these rare manifestations of transient monoballismus with during an episode of ketotic hyperglycemia without contralateral striatal abnormal findings on brain MRI in newly diagnosed diabetes mellitus.

Key Words: Dyskinesia, Hyperglycemia, Ketosis