Hemifacial Spasm as the Presenting Manifestation of Type 3c Diabetes Mellitus.

Ritwik Ghosh,Bikash Chandra Swaika,Arpan Mandal,Subhankar Chatterjee,Julián Benito-León,Dipayan Roy,Souvik Dubey

doi:10.5334/tohm.611

Abstract

Background:Type 3c diabetes mellitus (T3cDM) usually occurs because of a variety of exocrine pancreatic diseases with varying mechanisms, which eventually lead to secondary pancreatic endocrine insufficiency i.e. hyperglycemia.Phenomenology:A man suffering from previously undiagnosed T3cDM presenting with subacute onset hemifacial spasm.Educational value:This case emphasizes the importance of rapid bedside measurement of capillary blood glucose in patients presenting with acute to subacute onset movements disorders irrespective of their past glycemic status.

Highlights

Type 3c diabetes mellitus (T3cDM), or pancreatogenic diabetes mellitus, may occur because of a variety of exocrine pancreatic diseases, mainly acute or chronic pancreatitis, pancreatic trauma, malignancy, hemochromatosis, and cystic fibrosis [1]
We report a case of a 31-yearold patient, with a history of chronic pancreatitis, who presented with hemifacial spasm
CASE PRESENTATION A 31-year-old non-smoker and non-alcoholic man presented to the emergency department with abdominal pain. He complained of intermittent twitching surrounding his eyelids for the last three months, which had aggravated recently for the last 12 days. He had a history of pancreatitis six years ago, which had been managed conservatively

Summary

Background

Type 3c diabetes mellitus (T3cDM) usually occurs because of a variety of exocrine pancreatic diseases with varying mechanisms, which eventually lead to secondary pancreatic endocrine insufficiency i.e. hyperglycemia. Phenomenology: A man suffering from previously undiagnosed T3cDM presenting with subacute onset hemifacial spasm. Educational value: This case emphasizes the importance of rapid bedside measurement of capillary blood glucose in patients presenting with acute to subacute onset movements disorders irrespective of their past glycemic status. TO CITE THIS ARTICLE: Ghosh R, Roy D, Chatterjee S, Dubey S, Swaika BC, Mandal A, Benito-León J. Hemifacial Spasm as the Presenting Manifestation of Type 3c Diabetes Mellitus.

INTRODUCTION

Findings

DISCUSSION