{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:31:52Z","timestamp":1787063512335,"version":"build-2736575974"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Euro J of Neurology"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and purpose<\/jats:title>\n                    <jats:p>No previous study has assessed the frequency and clinical\u2013radiological characteristics of patients with diabetes mellitus (DM) and acute onset nonchoreic and nonballistic movements. We conducted a prospective study to investigate the spectrum of acute onset movement disorders in DM.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We recruited all the patients with acute onset movement disorders and hyperglycemia who attended the wards of three hospitals in West Bengal, India from August 2014 to July 2021.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among the 59 patients (mean age = 55.4\u00a0\u00b1\u00a014.3 years, 52.5% men) who were included, 41 (69.5%) had choreic or ballistic movements, and 18 (30.5%) had nonchoreic and nonballistic movements. Ballism was the most common movement disorder (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a018, 30.5%), followed by pure chorea (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015, 25.4%), choreoathetosis (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a08, 13.6%), tremor (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a05, 8.5%), hemifacial spasm (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03, 5.1%), parkinsonism (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03, 5.1%), myoclonus (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a03, 5.1%), dystonia (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02, 3.4%), and restless leg syndrome (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a02, 3.4%). The mean duration of DM was 9.8\u00a0\u00b1\u00a011.4\u00a0years (89.8% of the patients had type 2 DM). Nonketotic hyperglycemia was frequently (76.3%) detected. The majority (55.9%) had no magnetic resonance imaging (MRI) changes; the remaining showed striatal hyperintensity. Eight patients with MRI changes exhibited discordance with sidedness of movements. Most of the patients (76.3%) recovered completely.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the largest clinical series depicting the clinical\u2013radiological spectrum of acute onset movement disorders in DM. Of note was that almost one third of patients had nonchoreic and nonballistic movements. Our findings highlight the importance of a capillary blood glucose measurement in patients with acute or subacute onset movement disorders, irrespective of their past glycemic status.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ene.15353","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T04:50:26Z","timestamp":1649652626000},"page":"2241-2248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":35,"title":["Acute onset movement disorders in diabetes mellitus: A clinical series of 59 patients"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1733-3429","authenticated-orcid":false,"given":"Souvik","family":"Dubey","sequence":"first","affiliation":[{"name":"Department of Neuromedicine Bangur Institute of Neurosciences Institute of Post Graduate Medical Education and Research and SSKM Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3555-4412","authenticated-orcid":false,"given":"Subhankar","family":"Chatterjee","sequence":"additional","affiliation":[{"name":"Department of General Medicine Patliputra Medical College and Hospital  Dhanbad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8192-0807","authenticated-orcid":false,"given":"Ritwik","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Department of General Medicine Burdwan Medical College and Hospital  Burdwan India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2062-362X","authenticated-orcid":false,"given":"Elan D.","family":"Louis","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avijit","family":"Hazra","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Institute of Postgraduate Medical Education and Research and SSKM Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samya","family":"Sengupta","sequence":"additional","affiliation":[{"name":"Department of General Medicine Apollo Gleneagles Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9075-2000","authenticated-orcid":false,"given":"Shambaditya","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Neuromedicine Bangur Institute of Neurosciences Institute of Post Graduate Medical Education and Research and SSKM Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhirup","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Department of Endocrinology NRS Medical College and Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alak","family":"Pandit","sequence":"additional","affiliation":[{"name":"Department of Neuromedicine Bangur Institute of Neurosciences Institute of Post Graduate Medical Education and Research and SSKM Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Biman Kanti","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Neuromedicine Bangur Institute of Neurosciences Institute of Post Graduate Medical Education and Research and SSKM Hospital  Kolkata India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1769-4809","authenticated-orcid":false,"given":"Juli\u00e1n","family":"Benito\u2010Le\u00f3n","sequence":"additional","affiliation":[{"name":"Department of Neurology University Hospital \"12 de Octubre,\"  Madrid Spain"},{"name":"Network Biomedical Research Center on Neurodegenerative Diseases  Madrid Spain"},{"name":"Department of Medicine Complutense University  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-58555-w"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2017.12.032"},{"key":"e_1_2_7_4_1","first-page":"175","article-title":"Clinical and neuroimaging spectrum of hyperglycemia\u2010associated chorea\u2010ballism: systematic review and exploratory analysis of case reports","volume":"33","author":"G\u00f3mez\u2010Ochoa SA","year":"2018","journal-title":"Funct Neurol"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","unstructured":"CosentinoC TorresL N\u00fa\u00f1ezY Su\u00e1rezR V\u00e9lezM FloresM.Hemichorea\/hemiballism associated with hyperglycemia: report of 20 cases. 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