Yıl: 2008 Cilt: 25 Sayı: 2 Sayfa Aralığı: 154 - 157 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report

Öz:
Yetmiş yedi yaşında diyabetik kadın hasta ani başlangıçlı jeneralize korea-ballismus ile başvurdu. Laboratuvar taramasında keton olmaksızın kontrolsüz diyabet ve normal serum osmolalitesi bulundu. Manyetik rezonans görüntülemesinde (MRG) istemsiz hareketleri açıklayabilecek bir anormallik saptanmadı. Nöroleptik ile birlikte insülin tedavisi istem dışı hareketleri 4 gün içinde tamamen ortadan kaldırdı. Bu iyi seyir, hiperosmolalite olmaksızın hipergliseminin direkt etkisinin bazal ganglionlarda nöronal disfonksiyon ile korea-ballismusa neden olabileceği hipotezini desteklemektedir. Sonuç olarak, diyabete bağlı bu istemdışı hareketler kan şekerinin kontrolü ile kısa süre içinde düzeltilebilir ve nöroleptik tedavi gerekmeyebilir.
Anahtar Kelime:

Konular: Nörolojik Bilimler

Hiperosmolalite olmaksızın nonketotik hiperglisemi ile ilişkili korea-ballismus: Bir olgu sunumu

Öz:
A 77 years old diabetic voman presented with a sudden onset of generalized chorea-ballismus (CB). Laboratory screening revealed uncontrolled diabetes with absent ketones and normal serum osmolality. There were no any abnormalities on magnetic resonance imaging (MRI) that can explain these involuntary movements. Insuline theraphy combined with neuroleptic abolished the involuntary movements completely within 4 days. This excellent prognosis supports the hypothesis that direct effect of hyperglycemia without hyperosmolality may cause CB by neuronal dysfunction in basal ganglia. The involuntary movements can be corrected with blood glucose control within a short time and neuroleptic theraphy may not be required. How to cite this article: T. KURT, G. AKHAN, F. KIZILTAŞ, Ö. KAYIM, Z. KURT: Chorea-Ballismus Associated With Nonketotic Hyperglycemia Without Hyperosmolality: A Case Report. J Neurol Sci [Turk] 2008;25:154-157How to cite this URL & PDF: T. KURT, G. AKHAN, F. KIZILTAŞ, Ö. KAYIM, Z. KURT: Chorea-Ballismus Associated With Nonketotic Hyperglycemia Without Hyperosmolality: A Case Report. J Neurol Sci [Turk] 2008 [cited 2008 December 18];25:154-157. Available from: http://jns.dergisi.org/text.php3?id=210 PDF: http://jns.dergisi.org/pdf/pdf_JNS_210.pdfE-mail of the corresponding author: tkurt2@hotmail.com
Anahtar Kelime:

Konular: Nörolojik Bilimler
Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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APA KURT İNCESU t, AKHAN G, KIZILTAŞ F, KAYIM YILDIZ Ö, KURT Z (2008). Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. , 154 - 157.
Chicago KURT İNCESU tülay,AKHAN Galip,KIZILTAŞ Ferda,KAYIM YILDIZ Özlem,KURT Zeynep Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. (2008): 154 - 157.
MLA KURT İNCESU tülay,AKHAN Galip,KIZILTAŞ Ferda,KAYIM YILDIZ Özlem,KURT Zeynep Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. , 2008, ss.154 - 157.
AMA KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. . 2008; 154 - 157.
Vancouver KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. . 2008; 154 - 157.
IEEE KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z "Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report." , ss.154 - 157, 2008.
ISNAD KURT İNCESU, tülay vd. "Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report". (2008), 154-157.
APA KURT İNCESU t, AKHAN G, KIZILTAŞ F, KAYIM YILDIZ Ö, KURT Z (2008). Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. Journal of Neurological Sciences (Turkish), 25(2), 154 - 157.
Chicago KURT İNCESU tülay,AKHAN Galip,KIZILTAŞ Ferda,KAYIM YILDIZ Özlem,KURT Zeynep Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. Journal of Neurological Sciences (Turkish) 25, no.2 (2008): 154 - 157.
MLA KURT İNCESU tülay,AKHAN Galip,KIZILTAŞ Ferda,KAYIM YILDIZ Özlem,KURT Zeynep Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. Journal of Neurological Sciences (Turkish), vol.25, no.2, 2008, ss.154 - 157.
AMA KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. Journal of Neurological Sciences (Turkish). 2008; 25(2): 154 - 157.
Vancouver KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report. Journal of Neurological Sciences (Turkish). 2008; 25(2): 154 - 157.
IEEE KURT İNCESU t,AKHAN G,KIZILTAŞ F,KAYIM YILDIZ Ö,KURT Z "Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report." Journal of Neurological Sciences (Turkish), 25, ss.154 - 157, 2008.
ISNAD KURT İNCESU, tülay vd. "Chorea-ballismus associated with nonketotic hyperglycemia without hyperosmolality: A case report". Journal of Neurological Sciences (Turkish) 25/2 (2008), 154-157.