Hyperglycemia-Induced Complete Left-Sided Hemiballismus Due to Uncontrolled Diabetes in a 70-Year-Old Female: A Case Report

TL;DR

A 72-year-old woman with uncontrolled diabetes developed left-sided involuntary movements, possibly due to hyperglycemia affecting the basal ganglia.

Contribution

This case report highlights hyperglycemia as a potential cause of hemiballismus and emphasizes the need for further research into its mechanisms.

Findings

The patient exhibited left-sided hemiballismus linked to hyperglycemia and diabetic ketoacidosis.

The case suggests a possible connection between uncontrolled diabetes and basal ganglia dysfunction.

Management of hyperglycemia-induced hemiballismus remains complex and poorly understood.

Abstract

This report details the presentation of a 72-year-old female with left-sided continuous non-rhythmic involuntary movements persisting for two months. The movements affected the left side of her face, arm, and leg. The patient had a history of multiple hyperglycemic episodes and diabetic ketoacidosis. This report investigates the basal ganglia’s involvement in hemiballismus, a movement disorder possibly linked to the patient’s hyperglycemia. It discusses the complex management of hyperglycemia-induced hemiballismus and the need for more research to understand the underlying mechanism and optimal treatment strategies.

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