Non-ketotic hyperglycemia presenting as acute hemiparkinsonism

Non-ketotic hyperglycaemia is commonly associated with hyperkinetic movement disorders like chorea. Here we report a case of non-ketotic hyperglycaemia, in a 70 year old man with longstanding diabetes presenting as acute onset hemi-parkinsonism. Hypokinetic movement disorders are only rarely reported in non-ketotic hyperglycaemia.
 

Keywords: Hyperglycemia, Parkinsonism, Putaminal hyperintensity.