NON KETOTİK HİPERGLİSEMİK HİPEROZMOLAR DURUMA BAĞLI HEMİKORE

Öz

Amaç: Bu makale, nonketotik hiperglisemik hiperozmolar durum nedeniyle hemikore gelişen 69 yaşındaki bir kadını incelemeyi amaçlamaktadır. Gereç ve Yöntem: Hasta, hemikore belirtileriyle başvurmuş ve beyin görüntüleme ile laboratuvar testleri yapılmıştır. Bulgular: Beyin görüntülemesinde diyabetik striatopatiye bağlı striatal anormallikler saptanmıştır. Ayrıca, hastada nonketotik hiperglisemik hiperozmolar durum mevcuttur. Tartışma: Hemikore, genetik ve metabolik hastalıklarla ilişkili olabilir. Bu vaka, hiperglisemi ile hemikore arasındaki ilişkiyi göstermektedir. Sonuç: Nonketotik hiperglisemik hiperozmolar durum, hemikore gibi nörolojik komplikasyonlara yol açabilir. Bu vaka, diyabetli hastalarda nörolojik komplikasyonların farkındalığını artırmaktadır.

Anahtar Kelimeler

• Diyabetes Mellitus
• nörolojik komplikasyon
• kore

HEMICHOREA DUE TO NON KETOTIC HYPERGLYCEMIC HYPEROSMOLAR CONDITION: CASE REPORT

Öz

Aim: This article aims to examine a 69-year-old female patient who developed hemichorea due to non-ketotic hyperglycemic hyperosmolar state. Materials and Methods: The patient presented with hemichorea symptoms, and brain imaging and laboratory tests were performed. Findings: Brain imaging revealed striatal abnormalities consistent with diabetic striatopathy. The patient also had non-ketotic hyperglycemic hiperosmolar condition. Discussion: Hemichorea can be associated with both genetic and metabolic disorders. This case demonstrates the relationship between hyperglycemia and hemichorea. Conclusion: Non-ketotic hyperglycemic hyperosmolar state can lead to neurological complications like hemichorea. This case raises awareness of neurological complications in diabetic patients

Anahtar Kelimeler

• Diabetes Mellitus
• neırological complications
• chorea

Kaynakça

1. 1.Vasudevan V, Laway BA, Wani AI, Wani MM. Chorea Associated with Nonketotic Hyperglycemia (Diabetic Striatopathy) in an Elderly Male. Indian J Endocrinol Metab. 2018 Nov-Dec;22(6):859-860.
2. 2.Cardoso F. Curriculum of Movement Disorders. Viyana: Springer; 2017. Chorea, ballism and athetosis; s. 275–282.
3. 3.Hemichorea as a first clinical manifestation of diabetes type 2: case report and review of literature. Sonia M-P, Catalina A, Sandra C, Javier M. J Neurol Stroke. 2018;8:270–271.
4. 4. "Hyperglycemic Hemichorea: A Case Series". Moon S, Kim HE, Oh TJ, Ahn CH, Choi SH, Jang HC. Ann Geriatr Med Res. 2021;25:222–225
5. 5.Hemichorea and hemiballism an unrecognized presentation of hyperosmolar hyperglycemic sydrome. Ticona J, Zaccone V, Zaman U, Kashani D, Chung Z, McFarlane IM. Am J Med Case Report 2020;8:159–161
6. 6.Walker RH. Differential diagnosis of chorea. Curr Neurol Neurosci Rep. 2011;11(4):385-95.
7. 7.Chua, C. B., Sun, C. K., Hsu, C. W., & Hsu, N. W. (2020). Diabetic striatopathy: Clinical presentation, neuroimaging, and outcomes. Journal of Clinical Neuroscience, 72, 122–128.