Diabetic hemichorea-hemiballism after prompt improvement in hyperglycemia

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Abstract

We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment.

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Kitagawa, M., Yamanaka, Y., Adachi, T., Ito, J., Fukase, K., Ohta, I., & Katagiri, T. (2017). Diabetic hemichorea-hemiballism after prompt improvement in hyperglycemia. Internal Medicine, 56(22), 3073–3076. https://doi.org/10.2169/internalmedicine.8615-16

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