Abstract

HAUPTFLEISCH, M P K  and  RODDA, J L. Non-ketotic hyperglycaemia and the hemichorea–hemiballismus syndrome – a rare paediatric presentation. S. Afr. j. child health [online]. 2018, vol.12, n.4, pp.134-136. ISSN 1999-7671.  http://dx.doi.org/10.7196/sajch.2018.v12i4.1535.

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.

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