Case Report
Diabetic Hemichorea at the Euglycemic State: A Case Report and an Earlier Unique Imaging before Hemichorea Symptoms Appeared
Jie Du1,*, Dao-Kai Gong2,*,✉, Xiao-Hui Hu3,*
1 Medical college of Yangtze University, Jingzhou, Hubei 434023, China; 2 Department of Neurology, The Second Affiliated Hospital of Yangtze University, The Second Clinical Medical college of Yangtze University, Jingzhou, Hubei 434023, China 3 Department of Neurology, The Second Affiliated Hospital of Yangtze University, Jingzhou, Hubei 434023, China *, These authors contributed equally. ✉, Correspondence Dao-kai Gong, Department of Neurology, The Second Affiliated Hospital of Yangtze University, The Second Clinical Medical college of Yangtze University, Jingzhou, Hubei 434023, China. E-mail: [email protected]. Telephone number:18972160708. Received: April 20, 2019. Accepted: November 20, 2019. Published online: December 23, 2019. Cite this paper: Jie Du, Dao-Kai Gong, Xiao-Hui Hu. (2020) Diabetic Hemichorea at the Euglycemic State: A Case Report and an Earlier Unique Imaging before Hemichorea Symptoms Appeared. Global Journal of Imaging and Interventional Medicine, 1(1):17-21. https://naturescholars.com/gjiim.010104. https://doi.org/10.46633/gjiim.010104. Copyright© 2020 by Scholars Publishing, LLC.
Abstract
Hemichorea-hemiballism (HCHB) is an infrequent but specific complication of diabetes mellitus. It usually occurs in the Asian elderly female who experienced high blood glucose. However, it needs to be cautious to diagnose because it can be also found in the male/female whose blood glucose is under good control. Here, we reported a man, who went through this situation where his serum glucose was normal (1-4). Although its exact pathogenesis is unknown, many articles took for the fluctuation of serum glucose (5). In addition, we observed that his head computed tomography (CT) scan presented relevant changes before his symptoms occurred. Hence, our findings suggest that HCBC may potentially be prediagnosed through patients’ computed tomography.
Key words: Hemichorea; Diabetes Mellitus; Hyperglycemia; Involuntary movement; Normal Glucose Level