Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report
Chorea Hyperglycemia Basal Ganglia Syndrome (CHBG) is an uncommon neurological complication arising in diabetic patients with severe, non-ketotic hyperglycemia. This case report describes a 50-year-old woman presenting with new-onset, choreiform movements in her extremities. Initial workup revealed...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2025-05-01
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| Series: | Clinical Medicine Insights: Case Reports |
| Online Access: | https://doi.org/10.1177/11795476251345877 |
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| author | Sumanth Gundraju Jaideep Menda Tarun Kumar Suvvari Anupama Kumudavalli Pindi Prudhvi Kumar Davala Tejinder Singh Vimal Thomas |
| author_facet | Sumanth Gundraju Jaideep Menda Tarun Kumar Suvvari Anupama Kumudavalli Pindi Prudhvi Kumar Davala Tejinder Singh Vimal Thomas |
| author_sort | Sumanth Gundraju |
| collection | DOAJ |
| description | Chorea Hyperglycemia Basal Ganglia Syndrome (CHBG) is an uncommon neurological complication arising in diabetic patients with severe, non-ketotic hyperglycemia. This case report describes a 50-year-old woman presenting with new-onset, choreiform movements in her extremities. Initial workup revealed uncontrolled diabetes (plasma glucose 410 mg/dl, HbA1c 11.2%) with negative serum ketones. Brain MRI findings supported the diagnosis, demonstrating characteristic T1 hyperintensity in the right basal ganglia. Implementation of gradual glycemic control over 48 hours led to significant improvement of her symptoms. This case emphasizes the importance of considering CHBG in the differential diagnosis of movement disorders in patients with uncontrolled diabetes. Early recognition and prompt glycemic management can lead to complete resolution of symptoms, highlighting the crucial role of maintaining proper blood sugar control in diabetic patients. |
| format | Article |
| id | doaj-art-82d517d2d5874fcfabb297812f561e90 |
| institution | DOAJ |
| issn | 1179-5476 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Clinical Medicine Insights: Case Reports |
| spelling | doaj-art-82d517d2d5874fcfabb297812f561e902025-08-20T03:12:26ZengSAGE PublishingClinical Medicine Insights: Case Reports1179-54762025-05-011810.1177/11795476251345877Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case ReportSumanth Gundraju0Jaideep Menda1Tarun Kumar Suvvari2Anupama Kumudavalli Pindi3Prudhvi Kumar Davala4Tejinder Singh5Vimal Thomas6Squad Medicine and Research (SMR), Amadalavalasa, Andhra Pradesh, IndiaDepartment of Medicine, All India Institute of Medical Sciences (AIIMS), New Delhi, IndiaSquad Medicine and Research (SMR), Amadalavalasa, Andhra Pradesh, IndiaSquad Medicine and Research (SMR), Amadalavalasa, Andhra Pradesh, IndiaSquad Medicine and Research (SMR), Amadalavalasa, Andhra Pradesh, IndiaOdessa National Medical University, Odessa, UkraineTbilisi State Medical University, Tbilisi, GeorgiaChorea Hyperglycemia Basal Ganglia Syndrome (CHBG) is an uncommon neurological complication arising in diabetic patients with severe, non-ketotic hyperglycemia. This case report describes a 50-year-old woman presenting with new-onset, choreiform movements in her extremities. Initial workup revealed uncontrolled diabetes (plasma glucose 410 mg/dl, HbA1c 11.2%) with negative serum ketones. Brain MRI findings supported the diagnosis, demonstrating characteristic T1 hyperintensity in the right basal ganglia. Implementation of gradual glycemic control over 48 hours led to significant improvement of her symptoms. This case emphasizes the importance of considering CHBG in the differential diagnosis of movement disorders in patients with uncontrolled diabetes. Early recognition and prompt glycemic management can lead to complete resolution of symptoms, highlighting the crucial role of maintaining proper blood sugar control in diabetic patients.https://doi.org/10.1177/11795476251345877 |
| spellingShingle | Sumanth Gundraju Jaideep Menda Tarun Kumar Suvvari Anupama Kumudavalli Pindi Prudhvi Kumar Davala Tejinder Singh Vimal Thomas Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report Clinical Medicine Insights: Case Reports |
| title | Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report |
| title_full | Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report |
| title_fullStr | Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report |
| title_full_unstemmed | Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report |
| title_short | Reversal of Chorea Hyperglycemia Basal Ganglia Syndrome With Glycemic Control: A Case Report |
| title_sort | reversal of chorea hyperglycemia basal ganglia syndrome with glycemic control a case report |
| url | https://doi.org/10.1177/11795476251345877 |
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