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Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 44-46

Sudden jerky head movement in hypoglycemia

Department of Neurology, Government Medical College, Kota, Rajasthan, India

Correspondence Address:
Prof. Vaishal S Shah
10-D, Raj Bhawan Road, Opposite SBBJ, Civil Lines, Kota – 324001, Rajasthan.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/AOMD.AOMD_29_19

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Hypoglycemia is associated with adrenergic and various neurological symptoms including hemiparesis. Though not common, movement disorders such as chorea and ballism have been reported in hypoglycemia. This case was of an elderly lady, a known diabetic, who developed two episodes of hemiparesis and single episode of jerky head movement with preserved sensorium lasting for few seconds, associated with hypoglycemia on different occasions, 1 week after increasing the dosage of oral hypoglycemic agent with complete recovery each time with correction of sugar levels. Magnetic resonance imaging showed transient bilateral diffusion restriction in posterior limb of internal capsule.

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