Hemichorea-Hemiballism with Non-ketotic Hyperglycemia in a Chronic Renal Failure Patient.
- Author:
Jeong Ho LEE
1
;
Seong Hyun PARK
;
In Suk HAMM
Author Information
1. Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea. nsdoctor@naver.com
- Publication Type:Case Report
- Keywords:
Hemichorea-hemiballism;
Hyperglycemia;
Renal failure;
Magnetic resonance image
- MeSH:
Basal Ganglia;
Brain;
Diabetes Mellitus;
Humans;
Hyperglycemia*;
Kidney Failure, Chronic*;
Magnetic Resonance Imaging;
Neurologic Manifestations;
Renal Insufficiency;
Uremia
- From:Journal of Korean Neurosurgical Society
2004;36(4):328-330
- CountryRepublic of Korea
- Language:English
-
Abstract:
Multiple metabolic complications of uremia are believed to cause neurologic manifestations in chronic renal failure. It is important to consider the possibility of non-ketotic hyperglycemia when hemichorea-hemiballism(HCHB) occurs in patients with end stage renal disease due to diabetes mellitus nephropathy. HCHB that accompanies hyperglycemia exhibits characteristic findings on the T1-weighted magnetic resonance(MR) imaging. The authors report a case of HCHB associated with non-ketotic hyperglycemia and basal ganglia hyperintensity on the T1-weighted brain MR imaging in a 64-year-old-woman with non-insulin dependent diabetes mellitus nephropathy.