Journal of Pediatric Neurology
DOI: 10.1055/s-0040-1718553
Case Report

Nonketotic Hyperglycemic Chorea in a 10-Year-Old Asian Boy with Diabetes Mellitus

Julia Marian
1  Department of Pediatrics, Flushing Hospital Medical Center, Flushing, New York, United States
,
Firdous Rizvi
1  Department of Pediatrics, Flushing Hospital Medical Center, Flushing, New York, United States
,
1  Department of Pediatrics, Flushing Hospital Medical Center, Flushing, New York, United States
› Author Affiliations
Funding None.

Abstract

Nonketotic hyperglycemic chorea-ballism (NKHCB), also known as diabetic striato-pathy (DS) by some, is a rare complication of diabetes mellitus and uncommon in children. We report a case of a 10 11/12-year-old boy of Asian descent with uncontrolled type 1 diabetes mellitus (T1DM), Hashimoto's thyroiditis, and multiple food allergies presenting with bilateral chorea-ballism. His brain magnetic resonance imaging revealed developmental venous anomaly in right parietal lobe and right cerebellum, no focal lesions or abnormal enhancements. Choreiform movements resolved with correction of hyperglycemia. Children and adolescents with a movement disorder should be evaluated for diabetes mellitus, especially with increasing prevalence and insidious nature of T2DM associated with obesity.



Publication History

Received: 12 July 2020

Accepted: 27 August 2020

Publication Date:
15 October 2020 (online)

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