Abstract
Hemi Chorea Associated With Hyperglycemia Benefitted From Barbiturate Therapy and Strict Glycemic Control
Highlights
Chorea is a rapid, jerky, and irregular, movement that tends to occur in the distal limbs, or face, but may occur in the proximal limb and axial structures
We report a similar patient who benefitted from controlling blood sugar levels and Primidone
Diabetes has been the cause of many reversible and irreversible changes, angiopathy and neuropathy to name a few. These conditions are a result of metabolic imbalance of advanced glycated end products [6] deposited in nerves and due to the involvement of small blood vessel [7]
Summary
Samer N Roy*, Haroon Chaudhry, Shreya Sahay Saxena and Krishnakant Shah Aka Khandelwal. Individuals with chronic and severe hyperglycemia can present with no symptoms to few non specific symptoms such as nausea, vomiting or abdominal pain [1]. Sometimes patients present with advanced nephropathy or neuropathy [2]. We present a case where an individual with long standing uncontrolled diabetes presented with an unusual presentation. He presented with uncontrolled and brisk jerking movement of his left hand. After starting the neurosuppresents and proper glycemic control patient reported decrease in intensity of these symptoms. Primidone decreases the nerve impulses in the nervous system and is a typical anti convulsing. We describe a case of hyperglycemia with an unusual clinical presentation that benefitted from a barbiturate
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