ABSTRACT

Choreiform-ballistic movements are often associated with lesions in the basal ganglia and subthalamic nucleus. For a patient with dancing movements, hyperglycemia might be an initial presentation. We hereby present a case of a young 19 years old girl already on insulin and presented with the sub-acute onset of abnormal movements. The purpose of this case report was to elaborate the possibility of choreiform movements as a rare presentation of endocrine deficiencies like type I diabetes in association with pseudohypoparathyroidism as well as the role of insulin, calcium, and vitamin D analogues in reducing the frequency and severity of these movements. Literature review showed a similar presentation with hyper-osmolar non-ketotic coma / hyper-osmolar hyperglycemic state (HONK/HHS) secondary to type 2 diabetes mellitus in middle and old-aged patients but not reported so far in young patients having type I diabetes mellitus with other underlying endocrine abnormalities.

Keywords: Basal Ganglia, Choreiform Movements, Intact Parathormone Level (iPTH), Pseudohypoparathyroidism, Type 1 Diabetes Mellitus.

How to cite this: Haroon M. Choreiform-Ballistic Movements Due to Endocrine Deficiencies. Life and Science. 2022; 3(4): 203-205. doi: http://doi.org/10.37185/LnS.1.1.274