Permanent haemichorea associated with transient hyperglycemia
2011
Hyperglycemia is associated with several common neurological syndromes.
Chorea, however, is a rare association that has only been documented in the literature recently. The triad of
chorea, non-ketotic hyperglycemia and a high signal
basal ganglialesion on the T1 weighted brain MRI (C-H-BG) is considered to be a unique syndrome. C-H-BG refers to the onset of
choreaduring or shortly after (days to weeks) an episode of non-ketotic hyperglycemia. There is usually a high signal lesion in the
basal gangliaon T1 weighted brain MRI that corresponds to the location of the
chorea. Most case reports of C-H-BG have been described in Asians. C-H-BG is considered to be a benign condition in which the clinical and MRI signs resolve quickly upon correction of blood glucose levels. Here, the authors describe a case of C-H-BG in a middle aged Caucasian in whom the
choreadid not resolve with improved glycemic control.
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