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J Family Med Prim Care. 2013 Jul;2(3):296-7. doi: 10.4103/2249-4863.120772.

Hemichorea-hemiballism in a nonketotic diabetic patient.

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Department of Medicine, Thengamara Mohila Sabuj Sangha Medical College and Rafatullah Community Hospital, Bogra, Bangladesh.


Hemichorea-hemiballism can be the solely presentation of a wide range of non-neurological clinical pictures, such as metabolic or hydro-electrolyte derange-ments. Hemichorea-hemiballism as the first presentation of type 2 diabetes mellitus has been described. The case depicted herein reinforces this association highlighting that especially in elder patients with new-ly diagnosed hemichorea-hemiballism, non-ketotic hyperglycemia should promptly be recognized.


Diabetes mellitus; hemichorea-hemiballism; putamen

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