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Neurological Sciences

, Volume 39, Issue 9, pp 1621–1623 | Cite as

Contralateral Parkinson’s disease in a patient with diabetic hemichorea

  • Kwang-Soo Lee
  • Joong-Seok Kim
  • Jee-Eun Lee
Letter to the Editor

Dear Editor:

Diabetes and hyperglycemia can induce chorea, hemichorea-hemiballism, and choreoathetosis. Movement disorders in diabetes are easily treatable and have a good prognosis [1]. In a meta-analysis, 97% of patients had complete resolution of chorea within 6 months [2]. In some patients, tight blood glucose control is sufficient to control the symptoms, but typical neuroleptics, such as haloperidol and risperidol are also useful in managing choreic movements [1]. Rarely, a small portion of patients have poor prognosis despite strict blood glucose control and active treatment [3, 4].

Herein, we report a Parkinson’s disease patient who was treated with a small dose of haloperidol due to intractable diabetic hemichorea.

A 66-year-old female patient with a 20-year history of diabetes mellitus and 3-year history of hypertension was admitted to the hospital because of sudden involuntary movements involving the left limbs for 3 days. She had been treated with an oral hypoglycemic...

Notes

Funding/support

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT and Future Planning (NRF-2017R1D1A1B06028086).

Compliance with ethical standards

The institutional review board at St. Mary’s Hospital approved this case report.

Conflict of interest

The authors declare that they have no conflicts of interest.

Patient consent

The patients have consented to the submission of the case report to the journal.

References

  1. 1.
    Oh SH, Lee KY, Im JH, Lee MS (2002) Chorea associated with non-ketotic hyperglycemia and hyperintensity basal ganglia lesion on T1-weighted brain MRI study: a meta-analysis of 53 cases including four present cases. J Neurol Sci 200(1–2):57–62CrossRefPubMedGoogle Scholar
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    Hsu JL, Wang HC, Hsu WC (2004) Hyperglycemia-induced unilateral basal ganglion lesions with and without hemichorea. A PET study. J Neurol 251(12):1486–1490CrossRefPubMedGoogle Scholar
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    Block H, Scozzafava J, Ahmed SN, Kalra S (2006) Uncontrollable movements in patient with diabetes mellitus. CMAJ 175(8):871CrossRefPubMedPubMedCentralGoogle Scholar
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    Kim YD, Kim JS, Song IU, Lee KS, Kim YI (2011) Recurrence of hypoglycemic-induced chorea-ballismus after haloperidol withdrawal. Can J Neurol Sci 38(4):663CrossRefPubMedGoogle Scholar
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    Lyons KE, Wilkinson SB, Overman J, Pahwa R (2004) Surgical and hardware complications of subthalamic stimulation: a series of 160 procedures. Neurology 63(4):612–616CrossRefPubMedGoogle Scholar
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    Kim JS, Lee KS, Lee KH, Kim YI, Kim BS, Chung YA, Chung SK (2002) Evidence of thalamic disinhibition in patients with hemichorea: semiquantitative analysis using SPECT. J Neurol Neurosurg Psychiatry 72(3):329–333CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology, College of MedicineThe Catholic University of KoreaSeoulRepublic of Korea

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