Chorea associated with non-ketotic hyperglycemia and hyperintensity basal ganglia lesion on T1-weighted brain MRI study

Oh, Seung-Hun; Lee, Ki Young; Im, Jae Hyoung; Lee, Myung Sik

doi:10.1016/s0022-510x(02)00133-8

Cited by 352 publications

(519 citation statements)

References 28 publications

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“…Although more than 50 patients who met the criteria for this triad are described in the literature (1,13,14), the exact mechanism behind the T1 hyperintensity remains obscure. A review of the literature revealed only two cases with histological studies using a biopsy specimen (2,12), and only one case with autopsy findings of this unique syndrome (3).…”

Section: Discussionmentioning

confidence: 99%

Radiological and pathological changes in hemiballism‐hemichorea with striatal hyperintensity

Nath¹,

Jambhekar²,

Rao³

et al. 2006

Magnetic Resonance Imaging

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Section: Discussionmentioning

confidence: 99%

Radiological and pathological changes in hemiballism‐hemichorea with striatal hyperintensity

Nath¹,

Jambhekar²,

Rao³

et al. 2006

Magnetic Resonance Imaging

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“…It can be caused by a wide variety of etiologies, including ischemia, infection, neoplasm and Huntington's disease. Non-ketotic hyperglycemia induced chorea is a rare, but reversible, condition associated with contralateral striatal radiological abnormalities usually resolving within 6 months following correction of hyperglycemia (5)(6).…”

Section: Introductionmentioning

confidence: 99%

Hemichorea Associated With Non-Ketotic Hyperglicemia: Report of Two Cases and Brief Review of the Literature

Meguins

Valsechi

Oliveira

2016

ACS

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Conflito de interesses: NãoAbstract Introduction: Chorea is characterized as a hyperkinetic movement disorder that is caused by lesions on the basal ganglia. Many etiological factors have been described, including ischemia, infection, neoplasm and neurodegenerative disorders, such as Huntington's disease. Non-ketotic hyperglycemia induced chorea is a rare, but reversible, condition usually associated with contralateral striatal radiological abnormalities. Case Report: Case 1: A 64 year-old Brazilian woman was admitted concerning about a 4-day history of involuntary, erratic and continuous movements with sudden onset affecting the left arm, leg and, partially, the left hemiface. Her past medical history was remarkable for arterial hypertension and type 2 diabetes mellitus. Neurologic examination revealed the presence of choreic movements of the left hemiface, arm and leg. Case 2: A 63 year-old Brazilian woman was admitted concerning about an 1-day history of involuntary, without purpose, assymmetric, irregular and abrupt movements of the upper limbs and face associated with difficulty of speaking and swallowing. Her past medical history was remarkable for arterial hypertension and coronariopathy with two episodes of acute myocardial infarction four months before. There was no history of diabetes mellitus. On neurological examination, she presented severe dysartry and difficulty of swallowing associated with choreic movements of the upper limbs and face. Conclusion: In the present study, we describe two cases of chorea as a complication of non-ketotic hyperglycemia. A high index of clinical awareness and early suspicion of this possible association are extremely important, once the correct management and normalization of glycemia may result in complete recovery of neurologic symptoms.Descriptors: Chorea; Hyperglycinemia Nonketotic. ResumoIntrodução: Coréia é caracterizada como um distúrbio de movimento hipercinético causado por lesão dos gânglios da base. Muitos fatores etiológicos tem sido descritos, incluindo isquemia, infecção, neoplasia e desordens neurodegenerativas, como a Doença de Huntington. Hiperglicemia não cetótica induzindo coréia é uma condição rara, embora reversível, usualmente associada a anormalidades radiológicas estriatais contralateral. Relato de Caso: Caso1: Mulher brasileira de 64 anos foi admitida com queixa de ha 4 dias apresentar movimentos involuntários, aleatórios e continuos de início súbito afetando braço, perna e parcialmente a face, a esquerda. Portadora de HAS e DM tipo 2. No exame neurológico apresentava movimentos coreicos em braço, perna e face a esquerda. Case 2: Mulher brasileira de 63 anos com queixa ha 1 dia de movimentos involuntários, assimétricos, sem propósitos, irregular e abruptos em membros superiores e face associado a disartria e disfagia. Portadora de HAS e coronariopatia com IAM ha 4 meses atrás, sem historia de DM. Ao exame neurológico, apresentava severa disartriam, disfagia, associado a movimentos coreicos em membros superiores e face. Conclusão: No presente es...

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“…Bu durumlarda koreik hareketler motor fonksiyonların geri dönmesinden sonra başlar. Koreiform hareketler kontralateral subtalamik nükleus ile internal kapsül veya bazal ganglionları tutan lezyonlarda oluşurlar (1)(2)(3)(4). Sekonder hemikore etyolojisinde en sık sebep iskemik ve hemorajik serebrovasküler hastalılıklardır.…”

Section: Introductionunclassified

“…Sekonder hemikore etyolojisinde en sık sebep iskemik ve hemorajik serebrovasküler hastalılıklardır. Daha nadir olarak tümörler, multipl skleroz plakları ve başarısız talamotomi girişimleri sebep olabilir (3).…”

Section: Introductionunclassified

A Case Of Transient Ischemic Attack Presenting As Hemichroea

Özdemir¹,

Demir²,

Taşçı³

et al. 2013

Türk Beyin Damar Hast Derg

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Kore; aritmik, hızlı, sıçrayıcı veya akıcı, basit veya kompleks özellikte olan genellikle ekstremitelerin distallerindeki istemsiz hareketler olarak tanımlanır. Koreiform hareketler putamen, globus pallidus ve subtalamik nukleusun etkilenmesi ile ortaya çıkar. Kore metabolik ve vasküler hastalıklar ile nörodejeneratif ya da herediter hastalıkların seyrinde gözlenebilir. Kore nadir olarak serebral hipoperfüzyonun bir bulgusu olabilir. Geçici iskemik atak, kısa süreli olarak beynin iskemisi ile karakterize meydana gelen bir olaydır. Serebral hipoperfüzyonun lokalizasyonuna göre çok çeşitli semptomlar görülebilir. Hemikore geçici iskemik atakların sırasında çok nadir gözlenen bir bulgudur. Bu yazıda hemikore şeklinde semptom veren geçici iskemik atak olgusu literatür eşliğinde tartışılmıştır. Anahtar Sözcükler: Kore, geçici iskemik atak, karotid anjiografi. A CASE OF TRANSIENT ISCHEMIC ATTACK PRESENTING AS HEMICHROEA ABSTRACTChorea is defined as; involuntary movements of the distal parts of limbs which have arrhythmic, rapid, bouncing or smooth, simple or complex properties. Choreiform movements occur when putamen, globus pallidus and subthalamic nucleus are affected. Chorea can be observed during the course of metabolic and vascular diseases, neurodegenerative or hereditary diseases. Chorea may be a rare symptom of cerebral hypoperfusion. Transient ischemic attack is an event that occurs in short term characterized by a temporary ischemia of brain. A wide variety of symptoms can be seen depending on the localization of cerebral hypoperfusion. Hemichorea is a very rare finding observed during transient ischemic attacks. In this article hemichorea in a case of symptomatic transient ischemic attack is discussed with relevant literature.

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Chorea associated with non-ketotic hyperglycemia and hyperintensity basal ganglia lesion on T1-weighted brain MRI study

Cited by 352 publications

References 28 publications

Radiological and pathological changes in hemiballism‐hemichorea with striatal hyperintensity

Radiological and pathological changes in hemiballism‐hemichorea with striatal hyperintensity

Hemichorea Associated With Non-Ketotic Hyperglicemia: Report of Two Cases and Brief Review of the Literature

A Case Of Transient Ischemic Attack Presenting As Hemichroea

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