RESUMEN
Background Hyperglycaemia can rarely manifest as hemichorea/hemiballismus, which subsides with adequate control of blood sugar. Our study accounted for patients with abnormal, involuntary limb movements with high blood sugar, excluding other conditions leading to or mimicking such a clinical appearance. It is very important to identify such patients as chorea secondary to an underlying etiology like hyperglycemia, which can be cured. Material & methods This study was done in IMS & SUM Hospital for a duration of one year, from March 2019 to February 2020, with a total of 11 cases with abnormal limb movements with a blood sugar of 250 mg% and above. Results In this study, 36.36%( n=4) of patients were female, and 63.63% (n=7) were males. The mean age of the patients at presentation was 66.5 years. Eighteen point one percent (18.1%; n=2) of the patients showed hemiballismus, 36.3% (n=4) showed hemichorea, 18.1% (n=2) showed hemiathetosis, 9.1% (n=1) showed myoclonus, and 18.1% (n=2) showed hemiballismus with hemichorea. The mean duration to correct hyperglycemia was found to be 34 hours and the mean duration to correct abnormal limb movements was 90.54 hours. Eighty-one point eight percent (81.8%; n=9) of patients showed basal ganglia changes on brain imaging.
RESUMEN
Dorsal pancreatic agenesis is a rare pancreatic anomaly. We report a 47-year-old female patient who attended the medicine outdoor with complaint of intermittent upper abdominal pain for 6 months of duration. She was not a known diabetic or hypertensive. Mild splenomegaly was detected on abdominal examination. Ultrasonography of abdomen showed cholelithiasis, splenomegaly with dilated portal veins and multiple porto-systemic collateral. The pancreas was not visualized due to bowel gas shadow. Contrast-enhanced computed tomography of the abdomen revealed absent pancreatic body and tail with stomach/small bowels occupying the pancreatic bed anterior to splenic vein along with features of portal hypertension, cholelithiasis, malrotated left kidney and left extrarenal pelvis. Magnetic resonance cholangiopancreatography confirmed nonvisualization of the pancreatic duct except a small remnant of the ventral duct of the pancreas and an absent dorsal part of pancreas. Our case report is a rare combination of dorsal pancreatic bud agenesis with malrotated kidney and extrarenal pelvis
No disponible