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{
    "pk": 1188,
    "title": "Level I Hyperglycemia Alert: A Case Report",
    "subtitle": null,
    "abstract": "Introduction: \nNonketotic hyperglycemia-associated chorea is a rare condition that upon presentation to the emergency department can be easily misdiagnosed as a seizure or a stroke. Although uncommon, identification of this condition can aid emergency physicians in avoiding unnecessary and potentially harmful treatments for other neurological pathology. Furthermore, prompt hyperglycemic control can result in reversal of symptoms within days.\nCase Report:\n We present a case of nonketotic hyperglycemia-associated chorea where the patient was transferred to our facility as a hemorrhagic stroke alert, based on a false-positive interpretation of head computed tomography (CT) imaging.\nConclusion:\n Nonketotic hyperglycemia on CT imaging and clinical presentation can mimic stroke presentations. Prompt recognition of key features can lead to appropriate treatment.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "hyperglycemia"
        },
        {
            "word": "stroke mimic"
        },
        {
            "word": "nonketotic hyperglycemia"
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/1qk603h5",
    "frozenauthors": [
        {
            "first_name": "Michelle",
            "middle_name": "",
            "last_name": "Nassal",
            "name_suffix": "",
            "institution": "The Ohio State University, Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "San Miguel",
            "name_suffix": "",
            "institution": "The Ohio State University, Wexner Medical Center, Department of Emergency Medicine, Columbus, Ohio",
            "department": "None"
        }
    ],
    "date_submitted": "2022-08-08T19:10:38Z",
    "date_accepted": "2022-08-08T19:10:38Z",
    "date_published": "2022-08-08T19:14:17Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1188/galley/927/download/"
        }
    ]
}