Choreoballism Associated with Diabetic Ketoacidosis and Bilateral Basal Ganglia Calcification

J Korean Neurol Assoc > Volume 14(2); 1996 > Article

Journal of the Korean Neurological Association 1996;14(2): 601-604.

김종열, 김종일, 정보우, 박성규, 서정규

경북대 신경과

Choreoballism Associated with Diabetic Ketoacidosis and Bilateral Basal Ganglia Calcification

Jong-yeol Kim, M.D., Jung-il Kim, M.D., Bo-woo Jung, M.D., Sung-kyu Park, M.D., Chung-kyu Suh, M.D.

Department of Neurology, College of Medicine, Kyungpook National University

Abstract

Various structural lesions as well as metabolic derangements cause choreoballism. Hyperglycemia can induce diverse neurologic dysfunctions. There are few case reports of dyskinesias associated with hyperglycemia or diabetic ketoacidosis. A 19-year-old girl with insulin dependent diabetes mellitus presented with bilateral choreoballism. She had diabetic ketoacidosis. Her dyskinesia improved with control of high blood glucose and ketoacidosis. Though she had bilateral basal ganglia calcification, the chance of its contribution to dyskinesia was very slim. We advise physicians to keep in mind that treatable hyperglycemia can cause dyskinesia.