Hemi Chorea Associated With Hyperglycemia Benefitted From Barbiturate Therapy and Strict Glycemic Control

Abstract

Chorea is a rapid, jerky, and irregular, movement that tends to occur in the distal limbs, or face, but may also occur in the proximal limb and axial structures. Chorea can occur in association with vascular disease, hypoor hyper glycemia [3] and a variety of infections and degenerative disorders. Harrison 19th Hemichorea has been reported in patients with chronic uncontrolled diabetes. We report a similar patient who benefitted from controlling blood sugar levels and Primidone. Primidone belongs to a class of barbiturates and is classically used for focal seizures [4]. It is evident from our clinical experience that administration of Primidone in addition to proper sugar control patient was asymptomatic.