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"Nor Akma Yunus"

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"Nor Akma Yunus"

Case Reports
Hemiballismus in Uncontrolled Diabetes Mellitus
Juhaida Jaafar, Razlina Abdul Rahman, Nani Draman, Nor Akma Yunus
Korean J Fam Med 2018;39(3):200-203.   Published online May 18, 2018
DOI: https://doi.org/10.4082/kjfm.2018.39.3.200
Hemiballismus, a subtype of chorea, is a rare movement disorder, and is most commonly found secondary to stroke. Movements are involuntary, violent, coarse, and have a wide amplitude. There is increasing report of hemiballismus occurring in non-ketotic hyperglycemia. Spontaneous improvements or remissions were observed in many patients, and treatment should be directed towards the cause of hemiballismus. There is no randomized control trial to guide clinicians in deciding the best treatment option when managing hemiballismus. Symptomatic treatment includes the use of drugs such as dopamine receptor blocker and tetrabenazine. Surgical treatment is reserved for severe, persistent, and disabling hemiballismus. This case is of an elderly woman with long standing uncontrolled diabetes who presented with abnormal movement in her left upper limb for 2 months, which resolved slowly with good control of her glucose levels. Treating physicians need to have a high index of suspicion to prevent mismanagement of the condition.

Citations

Citations to this article as recorded by  
  • Hemichorea in patients with temporal lobe infarcts: Two case reports
    Xu-Dong Wang, Xing Li, Chun-Lian Pan
    World Journal of Clinical Cases.2024; 12(4): 806.     CrossRef
  • Bilateral Chorea-Ballism Associated With Non-ketotic Hyperglycemia: A Case Report
    Ouafae Abbassi, Amina Ali Kako, Yassine Mebrouk
    Cureus.2024;[Epub]     CrossRef
  • Non-ketotic hyperglycaemic hemichorea-hemiballismus with Fahr’s disease in a Chinese family: a case report
    Si-Huan Zhu, Jin-Jin Peng, Ke-Fan Li, Jian-Cheng Peng, Jun Li
    International Journal of Neuroscience.2023; 133(11): 1242.     CrossRef
  • Atypical Imaging Findings of Nonketotic Hyperglycemic Hemichorea: A Case Report and Review of the Literature
    Christopher M Stevens, Kevin Malone, Arielle Degueure, Amro Saad Aldine, Octavio Arevalo
    Cureus.2023;[Epub]     CrossRef
  • Hemiballism and chorea with acute/subacute onset: a retrospective series
    Yeşim Güzey Aras, Sena Boncuk Ulaş, Türkan Acar, Bilgehan Atılgan Acar
    Acta Neurologica Belgica.2023; 123(2): 591.     CrossRef
  • Bilateral striatum with high-signal intensity on T1-weighted MRI: A case of hemichorea induced by nonketotic hyperglycemia
    Yuanyi Pan, Fattyang Chew, Rongping Wang, Xuntao Yin, Yaying Li
    Radiology Case Reports.2021; 16(4): 895.     CrossRef
  • Haemichorea–haemiballism associated with poorly controlled type 2 diabetes mellitus (a video demonstration)
    Shun Yamashita, Masaki Tago, Shu-ichi Yamashita
    BMJ Case Reports.2021; 14(4): e242949.     CrossRef
  • La striatopathie diabétique : une complication rare et traitable du diabète sucré
    N. Gouta, S. Younes, B. Hidouri, H. Bouguila, F. Boubaker
    NPG Neurologie - Psychiatrie - Gériatrie.2021; 21(126): 424.     CrossRef
  • Diabetes and neurology: hemichorea–hemiballism in hyperglycaemia
    Kim Yen Galloway, Osman Younus, Graziella Quattrocchi, Bazo Raheem, George Dervenoulas, Eli Silber
    Clinical Medicine.2020; 20(2): s21.     CrossRef
  • Hemiballismus in subcortical lacunar infarcts
    ChinyeluUchenna Ufoaroh, OvercomerNnaemeka Agah, Nnamdi Morah, ErnestNdukaife Anyabolu
    Nigerian Journal of Medicine.2020; 29(3): 527.     CrossRef
  • Hemiballismus Presenting as a Metabolic
    Debipriya Saha, Kanak Choudhury
    Bengal Physician Journal.2020; 6(3): 74.     CrossRef
  • Corea secundaria a hiperglucemia no cetósica: a propósito de un caso
    E. Esteban-Zubero, R. Castejón-Moreno, C. García-Muro, M.A. Alatorre-Jiménez, A. Marín-Medina
    Medicina de Familia. SEMERGEN.2019; 45(8): 569.     CrossRef
  • Investigation of the relationship between non-ketotic hyperglycemia and hemichorea-hemiballism
    Po-Jen Hsiao, Chih-Chun Kuo, Tai-You Kuo, Yung-Hsi Kao, Jenq-Shyong Chan, Yen-Yue Lin, Ming-Hua Chen, Jin-Shuen Chen, Chih-Pin Chuu
    Medicine.2019; 98(28): e16255.     CrossRef
  • 8,804 View
  • 130 Download
  • 11 Web of Science
  • 13 Crossref
A Brief Psychotic Episode with Depressive Symptoms in Silent Right Frontal Lobe Infarct
Salziyan Badrin, Noraini Mohamad, Nor Akma Yunus, Maryam Mohd Zulkifli
Korean J Fam Med 2017;38(6):380-382.   Published online November 14, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.6.380

Psychiatric symptoms may be related to a silent cerebral infarct, a phenomenon that has been described previously in literature. Acute psychosis or other neuropsychiatric symptoms including depression may present in stroke patients and patients with lesions either within the prefrontal or occipital cortices, or in subcortical areas such as the basal ganglia, thalamus, mid-brain, and brainstem. Psychosis in clinical stroke or in silent cerebral infarction is uncommon and not well documented in the literature. Neurological deficits are the most common presentation in stroke, and nearly a third of patients that suffer a stroke may experience psychological disorders such as depression and anxiety, related to physical disability. The present case report describes an elderly female patient who presented with hallucinations and depressive symptoms, and was discovered to have a recent right frontal brain infarction, without other significant neurological deficits.

Citations

Citations to this article as recorded by  
  • Influence of Evidence-Based Nursing on Psychological Status, Neurological Function, and Life Quality of Patients with Acute Poststroke Depression
    Yan Song, Fei Wang, Yakun Yang, Xing Liu, Chenghong Zhu, Zhongjie Shi
    Disease Markers.2022; 2022: 1.     CrossRef
  • Predicting hallucination proneness based on mindfulness in university students: the mediating role of mental distress
    Seyed Ruhollah Hosseini, Nikzad Ghanbari Pirkashani, Mahshid Zarnousheh Farahani, Sheyda Zarnousheh Farahani, Roghieh Nooripour
    Community Mental Health Journal.2021; 57(2): 203.     CrossRef
  • Cranial Magnetic Resonance Imaging as a Screening Tool for Evaluation of Silent Brain Ischemia in Severe Coronary Artery Disease: A Clinical Based Study
    Tuğba İlkem KURTOĞLU ÖZÇAĞLAYAN, Demet ÖZKARAMANLI GÜR, Ömer ÖZÇAĞLAYAN, Birol TOPCU, Aysun ÜNAL
    Düzce Tıp Fakültesi Dergisi.2020; 22(3): 201.     CrossRef
  • Auditory Hallucinations as a Rare Presentation of Occipital Infarcts
    Firas Ido, Reina Badran, Brandon Dmytruk, Zain Kulairi
    Case Reports in Neurological Medicine.2018; 2018: 1.     CrossRef
  • 7,866 View
  • 51 Download
  • 6 Web of Science
  • 4 Crossref
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