Nonketotic Diabetic Hemichorea-Hemiballismus in the Emergency Department

Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, Stratford, NJ, USA

Corresponding Author: James Espinosa, Department of Emergency Medicine, Rowan University SOM Kennedy University Hospital, 18 East Laurel Road, Stratford, NJ 08084, USA, Tel: +1 646 241 5695; E-Mail: [email protected]

Received Date: 14 Mar 2016  

 Accepted Date: 04 Apr 2016   

Published Date: 21 Apr 2016

Copyright © 2016 Espinosa

Citation: Lucerna A and Espinosa J. (2016). Nonketotic Diabetic Hemichorea-Hemiballismus in the Emergency Department. Mathews J Emergency Med. 1(2): 009.

ABSTRACT

We present a case of a 59-year old diabetic Jamaican male who presented to the emergency department with hemichorea- hemiballismus (HC-HB). HC-HB is a rare presentation of nonketotic hyperglycemia. While previously described in radiology, neurology and endocrinology literature, reports of this hyperkinetic movement caused by hyperglycemia are rare in the emergency medicine literature. Various conditions may cause hemichorea-hemiballismus. We highlight a case that illustrates the important distinguishing features of nonketotic hyperglycemic hemichorea-hemiballismus diagnosed in the emergency department.

KEYWORDS

Nonketotic Diabetic Hemichorea-hemiballismus; Hemichorea-hemiballismus; Emergency Department and Nonketotic Diabetic Hemichorea-hemiballismus; Nonketotic Hyperglycemia Presentations.