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Non-ketotic hyperglycaemia and the hemichoreahemiballismus syndrome – a rare paediatric presentation

M P K Hauptfleisch, J L Rodda

Abstract


Hemichorea-hemiballismus may be due to non-ketotic hyperglycaemia, but this condition has rarely been described in paediatrics. We describe the case of a 13-year-old girl with newly diagnosed type 1 diabetes and acute onset of left-sided choreoathetoid movements. Neuroimaging revealed an area of hyperintensity in the right basal ganglia. Her blood glucose level at the time was 19 mmol/L, and there was no ketonuria. The hemiballismus improved with risperidone and glycaemic control. Repeat neuroimaging 4 months later showed complete resolution of the hyperintensities seen.


Authors' affiliations

M P K Hauptfleisch, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa and Chris Hani Baragwanath Academic Hospital, Johannesburg, Africa

J L Rodda, Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa and Chris Hani Baragwanath Academic Hospital, Johannesburg, Africa

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Cite this article

South African Journal of Child Health 2018;12(4):134.

Article History

Date submitted: 2018-12-18
Date published: 2018-12-18

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