Bilateral dystonia in type 1 diabetes: a case report
2008

Bilateral Dystonia in Type 1 Diabetes: A Case Report

Sample size: 1 publication Evidence: low

Author Information

Author(s): Yasuhara Akihiro, Wada Jun, Makino Hirofumi

Primary Institution: Okayama University Graduate School of Medicine

Hypothesis

Can hyperglycemia induce involuntary movements such as dystonia and hemichorea in patients with type 1 diabetes?

Conclusion

Hyperglycemia-induced involuntary movement is one of the manifestations of dystonia and hemichorea-hemiballism.

Supporting Evidence

  • The patient had extremely high plasma glucose levels and was diagnosed with type 1 diabetes.
  • Dystonia completely disappeared within 3 days of treatment.
  • Only one case of type 1 diabetes with acute onset of non-ketotic hyperglycemia was reported in the literature.

Takeaway

A woman with type 1 diabetes had strange movements because her blood sugar was very high, but after treatment, she got better.

Methodology

The patient was treated with continuous intravenous regular insulin infusion and haloperidol.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

62-year-old Japanese woman.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-352

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