Hyperglycemic Hyperosmolar Syndrome Presenting With Unique Craniofacial Involuntary Movements

Hyperglycemic hyperosmolar syndrome should be considered in the differential diagnosis of acute onset facial hyperkinesias. Multiple movement disorders, e.g., hemifacial spasm, blepharospasm, and oromandibular dystonias, may occur in a single patient. The early diagnosis and proper treatment of the metabolic derangements of hyperglycemic hyperosmolar state usually results in complete resolution of the induced hyperkinesias.

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