Hemichorea-Hemiballism in a Nonketotic Diabetic Patient
A 67-year-old male normotensive, nonsmoker, and diabetic patient presented with involuntary movements of left side of the body. He was known diabetic for 10 years and on good control with oral gliclazide preparation. Recently, he discontinued the medication for 5 days without any reason. His family members mentioned that the patient was reasonably well till the evening he presented. There was no history of fever or intake of any other drugs. Patient was oriented, conscious, and vital signs were normal. Patient was violently moving his left sided limbs []. Routine investigations were in normal limit except blood glucose was 35 mmol/l. There were no ketone bodies in urine. Computed tomography (CT) brain showed nonenhancing hyperdensities in the right sided basal ganglia region. Controlling of blood glucose reduced the intensity of movements. Oral tetrabenazine added prior to discharge from hospital. A follow-up visit after 4 weeks showed no residual movements.