Evidence map›Paper›PMID 35403331›Full record

ArticleEuropean journal of neurology2022

Acute onset movement disorders in diabetes mellitus: A clinical series of 59 patients.

Souvik Dubey, Subhankar Chatterjee, Ritwik Ghosh, Elan D Louis, Avijit Hazra, Samya Sengupta, Shambaditya Das, Abhirup Banerjee, Alak Pandit, Biman Kanti Ray and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in European journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  6. 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 · 2026
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  8. Review
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  13. Diabetic striatopathy: cognitive and behavioral insights from case series and literature synthesis.Neurologia croatica : glasilo Udruzenja neurologa Jugoslavije = official journal of Yugoslav Neurological Association · 2025
    Article
  14. Article
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  16. Oromandibular Dystonia and Dysphagia in Hyperglycemic Brainstem Dysfunction.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 3 countries.

Souvik DubeyDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.ORCID 0000-0003-1733-3429
Subhankar ChatterjeeDepartment of General Medicine, Patliputra Medical College and Hospital, Dhanbad, India.ORCID 0000-0002-3555-4412
Ritwik GhoshDepartment of General Medicine, Burdwan Medical College and Hospital, Burdwan, India.ORCID 0000-0002-8192-0807
Elan D LouisDepartment of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.ORCID 0000-0003-2062-362X
Avijit HazraDepartment of Pharmacology, Institute of Postgraduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Samya SenguptaDepartment of General Medicine, Apollo Gleneagles Hospital, Kolkata, India.
Shambaditya DasDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.ORCID 0000-0001-9075-2000
Abhirup BanerjeeDepartment of Endocrinology, NRS Medical College and Hospital, Kolkata, India.
Alak PanditDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Biman Kanti RayDepartment of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.
Julián Benito-LeónDepartment of Neurology, University Hospital "12 de Octubre,", Madrid, Spain.ORCID 0000-0002-1769-4809
Bangur Institute of Neurosciences · INApollo Gleneagles Hospitals · INBurdwan Medical College & Hospital · INGovernment Medical College · INInstitute of Post Graduate Medical Education and Research · INMedical College and Hospital, Kolkata · INThe University of Texas Southwestern Medical Center · USUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeNo previous study has assessed the frequency and clinical-radiological characteristics of patients with diabetes mellitus (DM) and acute onset nonchoreic and nonballistic movements. We conducted a prospective study to investigate the spectrum of acute onset movement disorders in DM.

methodsWe recruited all the patients with acute onset movement disorders and hyperglycemia who attended the wards of three hospitals in West Bengal, India from August 2014 to July 2021.

resultsAmong the 59 patients (mean age = 55.4 ± 14.3 years, 52.5% men) who were included, 41 (69.5%) had choreic or ballistic movements, and 18 (30.5%) had nonchoreic and nonballistic movements. Ballism was the most common movement disorder (n = 18, 30.5%), followed by pure chorea (n = 15, 25.4%), choreoathetosis (n = 8, 13.6%), tremor (n = 5, 8.5%), hemifacial spasm (n = 3, 5.1%), parkinsonism (n = 3, 5.1%), myoclonus (n = 3, 5.1%), dystonia (n = 2, 3.4%), and restless leg syndrome (n = 2, 3.4%). The mean duration of DM was 9.8 ± 11.4 years (89.8% of the patients had type 2 DM). Nonketotic hyperglycemia was frequently (76.3%) detected. The majority (55.9%) had no magnetic resonance imaging (MRI) changes; the remaining showed striatal hyperintensity. Eight patients with MRI changes exhibited discordance with sidedness of movements. Most of the patients (76.3%) recovered completely.

conclusionsThis is the largest clinical series depicting the clinical-radiological spectrum of acute onset movement disorders in DM. Of note was that almost one third of patients had nonchoreic and nonballistic movements. Our findings highlight the importance of a capillary blood glucose measurement in patients with acute or subacute onset movement disorders, irrespective of their past glycemic status.

Indexed as

ChoreaDiabetes Mellitus, Type 2HyperglycemiaMovement DisordersAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesChoreoballismDiabetes mellitusDiabetic striatopathyHyperglycemiaMovement disorders

Identifiers

PMID35403331
PMCPMC9542887
OpenAlexW4223607076

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.