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Neurology 1999;52:646
© 1999 American Academy of Neurology
Brief Communications

Hemiballismus–hemichorea in older diabetic women: A clinical syndrome with MRI correlation

Byung-Chul Lee, MD, Sung-Hee Hwang, MD and Gregory Youngnam Chang, MD

From the Department of Neurology, Hallym University, College of Medicine, Seoul, Korea.

Address correspondence and reprint requests to Dr. Byung-Chul Lee, Department of Neurology, Hallym University, College of Medicine, 94-200 Yungdungpo-dong, Yungdungpo-ku, Seoul 150-020, Korea.

Eight older women from two different continents, all with nonketotic hyperglycemia, presented with hemiballismus–hemichorea (HB-HC) and high signal intensity in the contralateral striatum on T1-weighted MRI scans. Correction of underlying hyperglycemia and supportive care resulted in resolution within days to weeks. This characteristic clinicoradiologic picture suggests a clinical syndrome with benign outcome.




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