MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT
Diabetes mellitus (DM) and its complications constitute the leading causes of early mortality in most countries. Population aging and the growing prevalence of obesity and sedentary lifestyles, in addition to spreading urbanization, are considered the main drivers of the increasing incidence and pre...
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Brazilian Society of Geriatrics and Gerontology
2020-06-01
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doaj-1a76a5828b4e4eba9d532b6ddd8c7d2e2020-11-25T03:54:33ZengBrazilian Society of Geriatrics and GerontologyGeriatrics, Gerontology and Aging2447-21232020-06-0113211812010.5327/Z2447-211520191900015MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORTRaíssa Katherine Rodrigues0https://orcid.org/0000-0002-6960-684XLeandro Augusto Rocha1https://orcid.org/0000-0003-4897-9580Marcelo Perim Baldo2https://orcid.org/0000-0002-7673-3580Michelle Aparecida Ribeiro Borges3https://orcid.org/0000-0003-3878-6291Ronaldo Urias Mendonça4https://orcid.org/0000-0002-5857-917XSimone de Melo Costa5https://orcid.org/0000-0002-0266-018XLuciana Colares Maia6https://orcid.org/0000-0001-6359-3593Hospital Universitário Clemente de Faria – Montes Claros (MG), Brazil.Hospital Universitário Clemente de Faria – Montes Claros (MG), Brazil.Vanderbilt University – Nashville (TN), USA.Instituto de Ensino e Pesquisa da Santa Casa de Belo Horizonte – Belo Horizonte (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Universidade Federal de Minas Gerais – Belo Horizonte (MG), Brazil.Universidade Estadual de Montes Claros – Montes Claros (MG), Brazil.Diabetes mellitus (DM) and its complications constitute the leading causes of early mortality in most countries. Population aging and the growing prevalence of obesity and sedentary lifestyles, in addition to spreading urbanization, are considered the main drivers of the increasing incidence and prevalence of DM worldwide. This case report describes the acute onset of movement disorder in an older woman secondary to hyperosmolar hyperglycemic state (HHS). The combination of hemichorea–hemiballismus, HHS, and evidence of basal ganglia involvement on neuroimaging is considered a unique syndrome. Movement disorders secondary to HHS respond satisfactorily to administration of neuroleptic agents and proper glycemic control. The lack of published studies on this pathologic entity may lead to clinical and laboratory underdiagnosis, with negative impacts on patient prognosis and follow-up.https://ggaging.com/details/536/en-US/movement-disorder-caused-by-hyperosmolar-hyperglycemic-state-in-an-older-adult--a-case-reportagedhyperglycemic hyperosmolar nonketotic comadyskinesiasdiabetes mellitus |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Raíssa Katherine Rodrigues Leandro Augusto Rocha Marcelo Perim Baldo Michelle Aparecida Ribeiro Borges Ronaldo Urias Mendonça Simone de Melo Costa Luciana Colares Maia |
spellingShingle |
Raíssa Katherine Rodrigues Leandro Augusto Rocha Marcelo Perim Baldo Michelle Aparecida Ribeiro Borges Ronaldo Urias Mendonça Simone de Melo Costa Luciana Colares Maia MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT Geriatrics, Gerontology and Aging aged hyperglycemic hyperosmolar nonketotic coma dyskinesias diabetes mellitus |
author_facet |
Raíssa Katherine Rodrigues Leandro Augusto Rocha Marcelo Perim Baldo Michelle Aparecida Ribeiro Borges Ronaldo Urias Mendonça Simone de Melo Costa Luciana Colares Maia |
author_sort |
Raíssa Katherine Rodrigues |
title |
MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT |
title_short |
MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT |
title_full |
MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT |
title_fullStr |
MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT |
title_full_unstemmed |
MOVEMENT DISORDER CAUSED BY HYPEROSMOLR HYPERGLYCEMIC STATE IN AN OLDER ADULT: A CASE REPORT |
title_sort |
movement disorder caused by hyperosmolr hyperglycemic state in an older adult: a case report |
publisher |
Brazilian Society of Geriatrics and Gerontology |
series |
Geriatrics, Gerontology and Aging |
issn |
2447-2123 |
publishDate |
2020-06-01 |
description |
Diabetes mellitus (DM) and its complications constitute the leading causes of early mortality in most countries. Population aging and the growing prevalence of obesity and sedentary lifestyles, in addition to spreading urbanization, are considered the main drivers of the increasing incidence and prevalence of DM worldwide. This case report describes the acute onset of movement disorder in an older woman secondary to hyperosmolar hyperglycemic state (HHS). The combination of hemichorea–hemiballismus, HHS, and evidence of basal ganglia involvement on neuroimaging is considered a unique syndrome. Movement disorders secondary to HHS respond satisfactorily to administration of neuroleptic agents and proper glycemic control. The lack of published studies on this pathologic entity may lead to clinical and laboratory underdiagnosis, with negative impacts on patient prognosis and follow-up. |
topic |
aged hyperglycemic hyperosmolar nonketotic coma dyskinesias diabetes mellitus |
url |
https://ggaging.com/details/536/en-US/movement-disorder-caused-by-hyperosmolar-hyperglycemic-state-in-an-older-adult--a-case-report |
work_keys_str_mv |
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