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Globus Pallidus Internus Deep Brain Stimulation for Disabling Diabetic HemiballismHemichorea
Joint Authors
Son, Byung-chul
Choi, Jin-gyu
Ko, Hak-cheol
Source
Case Reports in Neurological Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-10-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Unilateral hemichorea/hemiballism (HH) associated with contralateral neuroimaging abnormalities of the basal ganglia, which is characterized by T1 hyperintensity on magnetic resonance imaging (MRI) and is secondary to diabetic nonketotic hyperglycemia, is a rare and unique complication of poorly controlled diabetes mellitus (DM).
Although almost all prior reports have documented rapid resolution of HH within days after normalization of blood glucose levels, medically refractory persistent HH has been noted.
The experience of surgical intervention for persistent HH is limited.
A 46-year-old, right-handed female patient with type 2 DM presented with refractory diabetic HH on the left side of 6 months’ duration despite DM control and neuroleptic medication usage.
Image-guided deep brain stimulation (DBS) on the right globus pallidus internus (GPi) was performed.
A mechanical micropallidotomy effect was observed and chronic stimulation of GPi was quite effective in symptomatic control of diabetic HH until a 16-month follow-up visit.
DBS of the GPi can be an effective treatment for medically refractory diabetic HH.
American Psychological Association (APA)
Son, Byung-chul& Choi, Jin-gyu& Ko, Hak-cheol. 2017. Globus Pallidus Internus Deep Brain Stimulation for Disabling Diabetic HemiballismHemichorea. Case Reports in Neurological Medicine،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147090
Modern Language Association (MLA)
Son, Byung-chul…[et al.]. Globus Pallidus Internus Deep Brain Stimulation for Disabling Diabetic HemiballismHemichorea. Case Reports in Neurological Medicine No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1147090
American Medical Association (AMA)
Son, Byung-chul& Choi, Jin-gyu& Ko, Hak-cheol. Globus Pallidus Internus Deep Brain Stimulation for Disabling Diabetic HemiballismHemichorea. Case Reports in Neurological Medicine. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1147090
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147090