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Journals / Journal of Emergency Medicine Case Reports / 2020 / Cilt: 11 - Sayı: 1

An Uncommon Hyperosmolar Nonketotic Condition

Elif ÇELİKEL
Uğur Bilgay KAYA
Birsen ULUCA KAYA
Hasan DOGAN
Afsin Emre KAYİPMAZ
Pages
7–8
Publication Date
2020-09-10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Hyperglycemia may present with neurological symptoms.
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Key Findings & Data:When investigating the causes of neurological symptoms in these cases, magnetic resonance imaging (MRI) imaging typically has a hyperintense appearance in T1 sections and a variable intense appearance in T2.
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Conclusion & Impact:Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Hyperglicemia · hemichorea-hemiballismus · Hyperosmolar Nonketotic

Abstract

Hyperglycemia may present with neurological symptoms. This rare condition is called non-ketotic hemichorea-hemiballismus (HCHB). When investigating the causes of neurological symptoms in these cases, magnetic resonance imaging (MRI) imaging typically has a hyperintense appearance in T1 sections and a variable intense appearance in T2. A 68-year-old female patient was admitted to the emergency department with speech disorder. Blood sugar elevation and cranial tomography revealed hyperdense appearance in the left caudate nucleus and lentiform nucleus. The patient was hospitalized with a preliminary diagnosis of HCHB. Magnetic resonance in hyperintense T1W sequences in the nucleus caudatus hood and corpus on the left, putamen, globus pallidus, Significant hypointense signal changes were observed in T2W sequences. The patient was admitted to the hospital for treatment and his blood sugar regulation was restored. HCHB is a rare condition in emergency. After the regulation of blood sugar, neurological picture regression is observed. Blood sugar levels should be checked and appropriate treatment should be given in patients presenting with neurological symptoms.

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Cite This Article

ÇELİKEL, E., KAYA, U. B., KAYA, B. U., DOGAN, H., KAYİPMAZ, A. E. (2020). An Uncommon Hyperosmolar Nonketotic Condition. Journal of Emergency Medicine Case Reports, Cilt: 11 - Sayı: 1, 7–8. https://ajindex.com/articles/677170

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References (9)

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