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Journal of Korean Neurosurgical Society > Volume 36(4); 2004 > Article
Journal of Korean Neurosurgical Society 2004;36(4): 328-330.
Hemichorea-Hemiballism with Non-ketotic Hyperglycemia in a Chronic Renal Failure Patient.
Jeong Ho Lee, Seong Hyun Park, In Suk Hamm
Department of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Korea. nsdoctor@naver.com
Multiple metabolic complications of uremia are believed to cause neurologic manifestations in chronic renal failure. It is important to consider the possibility of non-ketotic hyperglycemia when hemichorea-hemiballism(HCHB) occurs in patients with end stage renal disease due to diabetes mellitus nephropathy. HCHB that accompanies hyperglycemia exhibits characteristic findings on the T1-weighted magnetic resonance(MR) imaging. The authors report a case of HCHB associated with non-ketotic hyperglycemia and basal ganglia hyperintensity on the T1-weighted brain MR imaging in a 64-year-old-woman with non-insulin dependent diabetes mellitus nephropathy.
Key Words: Hemichorea-hemiballism; Hyperglycemia; Renal failure; Magnetic resonance image
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