Journal of Diabetes & Metabolism

ISSN - 2155-6156


An atypical presentation of hyperosmolar non-ketotic coma

14th International Conference and Exhibition on Targeting Diabetes and Novel Therapeutics

October 17-18, 2016 Kuala Lumpur, Malaysia

Majid Khan

Khyber Teaching Hospital, Pakistan

: J Diabetes Metab

Abstract :

Diabetes is a common ailment in our world. Hyperosmolar hyperglycemic non-ketotic syndrome consists of hyperglycemia, hyperosmolarity, intracellular dehydration and absence of ketoacidosis. It has some atypical presentations as well; one of them is hemiballismus-hemichorea. Hemiballism results from a lesion in the contralateral subthalamic nucleus and adjacent structures . Hemiballism, most of the times develops into hemichorea. This condition is more common in the postmenopausal woman most likely as first presentation, like in our case. The reason for hemichorea-hemiballism in this condition is poorly understood. Asian people has genetic predisposition for having hemochorea-hemiballism. Here, we report a case of newly diagnosed diabetic 70 year old female patient presenting as hemiballismus-hemichorea secondary to hyperosmolar non-ketotic coma. Her MRI brain showed T1 high signals in right basal ganglia and corona radiata suggestive of metabolic derangement. These symptoms may take from months to years to resolve. It has a good prognosis if it is recognised early and treated effectively.

Biography :

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