ArticleFrontiers in neuroscience2021
Non-ketotic Hyperglycemia Chorea-Ballismus and Intracerebral Hemorrhage: A Case Report and Literature Review.
Article in Frontiers in neuroscience, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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18 citing papers in PubMed, 29 citations in OpenAlex.
- Diabetic striatopathy: A case report of haemichorea in an older adult woman with poorly controlled diabetes.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026Article
- Striatopathy and stroke in diabetes: insights from two cases and literature review.Acta diabetologica · 2025Review
- Spectacular shrinking deficit followed by delayed Hemichorea-Hemiballismus: Redefining the stroke-TIA spectrum.eNeurologicalSci · 2025Article
- Uncontrolled Diabetes Unmasking Diabetic Striatopathy: A Reversible Cause of Hyperkinetic Movement Disorder.Cureus · 2025Article
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- Diabetic Striatopathy: A Case Report of Two Distinct Presentations in Elderly Patients.Cureus · 2024Article
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- Diabetic striatopathy: an updated overview of current knowledge and future perspectives.Journal of endocrinological investigation · 2024Review
- Study of Involuntary Limb Movements as a Presenting Feature in Nonketotic Hyperglycemia.Cureus · 2023Article
- ACUTE CHOREO-DYSTONIA IN A NEWLY DIAGNOSED PATIENT WITH DIABETES MELLITUS: A CASE REPORT AND REVIEW OF LITERATURE.Annals of Ibadan postgraduate medicine · 2023Article
- Effect of acupuncture treatment on nonketotic hyperglycemic hemichorea-hemiballismus: a case report.Journal of traditional Chinese medicine = Chung i tsa chih ying wen pan · 2023Article
- A rare case of hemichorea in the setting of non-ketotic hyperglycaemia with subtle radiological changes: a case report.Oxford medical case reports · 2023Article
- Clinical and imaging associations for non-ketotic hyperglycemic chorea: a case-control study.Frontiers in endocrinology · 2023Article
- Chorea: An unusual manifestation of endocrine diseases.Frontiers in endocrinology · 2023Review
- Non-ketotic Hyperglycemic Hemichorea-Hemiballismus: A Case of a Male With Diabetes Mellitus and Speech Disturbances.Cureus · 2022Article
- Diabetic Striatopathy Complicated With Acute Ischemic Stroke: A Case Report.Frontiers in neuroscience · 2022Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Non-ketotic hyperglycemia chorea-ballismus (NKH-CB) is a rare metabolical syndrome secondary to the hyperglycemic condition, which is characterized by a triad of acute or subacute hemichorea-hemiballismus, hyperglycemic state, and unique abnormalities limited to the striatum on neuroimaging. Several related case studies on this disorder have been reported previously, but NKH-CB had never been associated with intracerebral hemorrhage (ICH). Herein, we report an uncommon case of NKH-CB and ICH that occurred simultaneously in one patient, which provides a challenge for clinicians in making a correct diagnosis. An 88-year-old woman with a long-term history of poor-controlled type 2 diabetes mellitus and hypertension, who presented with a sudden-onset headache, restlessness, severe bilateral choreiform and ballistic movements, elevated levels of glucose and osmolality in the serum, an increased white blood cell count, and two-type hyperdense signs on CT imaging, was finally diagnosed with NKH-CB and ICH. Despite administrated active treatments, the patient's clinical status did not improve and ultimately passed away. This case is reported to remind clinicians to consider the possibility of NKH-CB when patients present sudden-onset choreiform and ballistic movements. It is also the first entity with two-type hyperdense signs on CT imaging simultaneously, which helps us distinguish NKH-CB from ICH more intuitively.
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