The Journal of Korean Diabetes 2008;9(3):213-218.
편측무도증으로 발현하여 처음 진단된 제2형 당뇨병 1예
유정선, 이용규, 한정우, 이윤범, 노정민, 류철형, 송재천, 남지선, 조민호, 안철우, 차봉수
A Case of Type 2 Diabetes Mellitus Manifested by Hemichorea
Jeong Seon Yoo, Yong Kyu Lee, Jeong Woo Han, Yoon Bum Lee, Jung Min Roh, Chul Hyoung Lyoo, Jae Chun Song, Ji Sun Nam, Min Ho Cho, Chul Woo Ahn, Bong Soo Cha
Abstract
Hemichorea associated with hyperglycemia is very rare disease. Furthermore, hemichorea as the initial manifestation of diabetic mellitus is extremely rare. We here report the case of new-onset hemichorea as first manifestation of type 2 diabetes mellitus. A 82-year old male without previously diagnosed diabetes mellitus, had visited at outpatients department of neurology because of dyskinesia at left side for 3 days. At initial studies, high signal basal ganglia lesion on the T1-weighted brain Magnetic Resonance Imaging and non-ketotic hyperglycemia were noted. Hemichorea had not improved by haloperidol monotherapy but by glycemic control. After insulin therapy, patient`s capillary blood sugar was controlled and hemichorea disappeared without anticonvulsants therapy.
Key Words: Hemichorea, Hyperglycemia, Type 2 diabetes mellitus


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