A CASE REPORT OF NON-KETOTIC HYPERGLYCEMIC HEMICHOREA SYNDROME

*Dr. Satabdi Kalita, MBBS, Dr. Ishani Shukla, MBBS and Prof. (Dr.) Parul Dutta, MD, DMRD

ABSTRACT

Non-ketotic hyperglycemic hemichorea(NHH) also known as diabetic striatopathy is a rare condition associated with chorea/ballism. It is the second most common cause of hemichorea-hemiballismus syndrome, other causes being stroke, demyelination and neoplasms. Chorea/ballism is the involuntary irregular non rhythmic movements of limbs which can be unilateral or bilateral. NHH is mostly seen in elderly patients with type 2 diabetes mellitus. On correction of hyperglycemia, there is reversal of clinical symptoms and imaging findings of basal ganglia.

Keywords: Hemichorea, Diabetic, Non-ketotic, T1 hyperintensity.