A case of hyperosmolar hyperglycaemic state with involuntary movements - Diagnostic dilemma and clinical considerations

Hanisah Abd Hamid, Nor Aini Umar*, Hanita Othman, Srijit Das

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Hyperosmolar hyperglycaemic state (HHS) is a medical emergency which needs immediate medical intervention. A 37-year-old Chinese woman with a history of hypertension attended the Emergency Department. She had a two-day history of involuntary movement, i.e. chorea of the upper limbs, preceded by a oneweek history of upper respiratory tract infection. She also had polyuria and polydipsia, although she was never diagnosed as diabetic. The main aim of reporting the present case was to highlight the importance of biochemical investigations involved in the diagnosis of involuntary movements.

Original languageEnglish
Pages (from-to)987-990
Number of pages4
JournalArchives of Medical Science
Issue number6
Publication statusPublished - Dec 2010
Externally publishedYes


  • Hyperglycaemic hyperosmolar state
  • Involuntary movement
  • Treatment

ASJC Scopus subject areas

  • Medicine(all)

Cite this