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Hyperglycemia-induced hemichorea-hemiballismus syndrome - a systematic review
Hoffmeister, Mariana Costa; Bonavides, Paola S. G.; Wiercinski, Vanessa Maurer; Baggio, Viviane Alessio; Borges, Roberta de Pádua; Xavier Junior, Gesner Francisco; Maraschin, Clara K.; Schaan, Beatriz D..
Afiliación
  • Hoffmeister, Mariana Costa; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
  • Bonavides, Paola S. G.; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
  • Wiercinski, Vanessa Maurer; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
  • Baggio, Viviane Alessio; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
  • Borges, Roberta de Pádua; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
  • Xavier Junior, Gesner Francisco; Universidade Federal de Minas Gerais. Faculdade de Medicina. Belo Horizonte. BR
  • Maraschin, Clara K.; Universidade Federal do Rio Grande do Sul. Faculdade de Medicina. Departamento de Medicina Interna. Porto Alegre. BR
  • Schaan, Beatriz D.; Hospital de Clínicas de Porto Alegre. Serviço de Endocrinologia. Porto Alegre. BR
Arch. endocrinol. metab. (Online) ; 68: e220413, 2024. tab, graf
Article en En | LILACS-Express | LILACS | ID: biblio-1556952
Biblioteca responsable: BR1.1
ABSTRACT
ABSTRACT Nonketotic hyperglycemia may occur as a cause of chorea in patients with chronic decompensated diabetes. Because it is rare and consequently poorly studied, diagnosis and treatment can be delayed. Therefore, our objective was to summarize clinical and radiological features, as well as treatments performed, from previously reported cases to facilitate adequate management in clinical practice. We searched MEDLINE/PubMed, EMBASE, Cochrane, CINAHL, Web of Science, Scopus, and LILACS databases for studies published before April 23, 2021. We included case reports and case series of adults (aged ≥ 18 years) that described hyperglycemic chorea with measurement of glycated hemoglobin (HbA1c) and cranial magnetic resonance imaging (MRI). Studies were excluded if participants were pregnant women, aged < 18 years, and had no description of chorea and/or physical examination. We found 121 studies that met the inclusion criteria, for a total of 214 cases. The majority of the included studies were published in Asia (67.3%). Most patients were women (65.3%) aged > 65 years (67.3%). Almost all patients had decompensated diabetes upon arrival at the emergency department (97.2%). The most common MRI finding was abnormalities of the basal ganglia (89.2%). There was no difference in patient recovery between treatment with insulin alone and in combination with other medications. Although rare, hyperglycemic chorea is a reversible cause of this syndrome; therefore, hyperglycemia should always be considered in these cases.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Arch. endocrinol. metab. (Online) Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Arch. endocrinol. metab. (Online) Asunto de la revista: ENDOCRINOLOGIA / METABOLISMO Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil