In view of the above, a diagnosis of non-ketotic hyperglycaemic hemichorea
was made--serum glucose of 19 mmol/L, no ketones and with classic clinical and radiological findings.
(1868) Observations on the physiology and pathology of hemichorea
Concepts and controversies in nonketotic hyperglycemia-induced hemichorea
: further evidence from susceptibility-weighted MR imaging.
Patients have been known to present with acute-onset hemichorea
in the setting of well-controlled sugars with an elevated HbA1C or in severely hyperglycemic states.
 male hemichorea
Heubi and 9-year-old, Shott male Yes Motor and vocal  tics 10-year-old, No Obsessive- male compulsive symptoms Orvidas 12-year-old, Yes Obsessive- and female compulsive Slattery symptoms  8-year-old, Yes Intermittent male motor tics, head jerking and ocular tics Treatment Patient ASOT titre provided prior Author demographic to tonsillectomy Alexander 9-year-old, Positive Throat Cephalosporin, et al.
Chorea affecting one side of the body is called hemichorea
. Different causes, including genetic, metabolic, pharmacological and structural, can lead to disturbances in basal ganglia, which leads to the loss of inhibition in subthalamic nucleus resulting in involuntary movements (1-4).
Sato et al., "Two diabetics with hemichorea
hemiballism and striatal lesions," No To Shinkei, vol.
They are generally bilateral and sometimes unilateal (hemichorea
The differential diagnosis of conditions presenting with hemichorea
includes ischemic or hemorrhagic stroke, vasculitis, central nervous system lupus, mass lesions, multiple sclerosis, thyrotoxicosis, and drugs (such as neuroleptics or levodopa) .
While bilateral chorea was observed in 6 of the patients, hemichorea
was observed in the other patients and focal neurological deficit was reported in 15 patients.