Non-ketonic hyperglycemia presenting with acute hemichorea and ballism
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Non-ketotic hyperglycemia is a complication of poorly controlled diabetes mellitus. Rarely, it can present like an acute neurological syndrome with unilateral choreiform and ballistic movements. Such a presentation usually raises the suspicion of a cerebrovascular event and prompts more workup. Moreover, the neuroimaging in this condition also suggests a variety of potential possibilities. Identification of this rare presentation of non-ketotic hyperglycemia helps with the appropriate management and avoid unnecessary investigations. In this case report, we report the case of an elderly woman who presented with hemichorea-ballism due to non-ketotic hyperglycemia and discuss the literature on this presentation. We also highlighted the differential diagnosis based on neuroimaging.
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