Choreiform-Ballistic Movements Due to Endocrine Deficiencies

Choreiform-Ballistic Movements

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 hyperosmolar
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.

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