Generally, cardiac arrest due to pulseless electrical activity has a poor outcome, except when reversible factors such as acute hyperkalaemia are identified and managed early. Hyperosmolar diabetic non-ketotic coma may lead to acute hyperkalaemia. Hyperosmolar diabetic non-ketotic coma is a metabolic emergency usually seen in elderly non-insulin dependent diabetics, characterized by severe hype...

The hyperosmolar non-ketotic diabetic syndrome, first reported in 1957,' is being diagnosed with greater frequency.' Several cases have been reported of this syndrome being precipitated by treatment with diuretics, especially thiazide diuretics and frusemide.3-9 Diuretic treatment lasted from 15 days4 to 4 years" before the syndrome developed. We reviewed the case notes of a consecutive series ...

We report a patient with hyperosmolar non-ketotic hyperglycaemia who presented with chorea and septic arthritis on his knee. The chorea resolved completely and quickly with correction of the metabolic disturbance, only to return just as quickly when his metabolic disturbance subsequently deteriorated as a result of overwhelming septicaemia, suggesting coexisting cerebral ischaemia, although the...

OBJECTIVE To study regional blood flow of the striatum in non-ketotic hyperglycaemic choreic patients. METHODS Brain SPECT was performed with intravenous injection of 20 mCi 99mTc hexamethylpropylene amineoxime in six non-ketotic hyperglycaemic choreic patients and 10 age matched patients with a similar level of hyperglycaemia without chorea as a control. The focal perfusion defects were anal...

Received July 10, 2001 Abstract Non-ketotic hyperglycinaemia (NKH) is a rare metabolic disease in Hong Kong. Only one case was reported in Hong Kong from literature search of the past ten years. We report a case with non-ketotic hyperglycinaemia who showed all the classical prenatal and postnatal clinical, biochemical and electroencephalographic features. Dextromethorphan, a non-competitive N-M...

Hemichorea-hemiballismus is a hyperkinetic movement disorder on one side of the body resulting from involvement contralateral basal ganglia and striatum mainly. A 50-year-old female presented with 5-days history choreiform movements affecting left upper lower limb along hemiface. Her plasma glucose was 576 mgl/dl her urinary ketones were negative suggesting non-ketotic hyperglycemia. Computed t...

Hyperglycinemia represents a group of disorders characterized by elevated concentrations of glycine in body fluids. Two types exist, the ketotic and non ketotic. In the ketotic type, the most striking feature is ketoacidosis, which begins early in life and in which hyperglycinemia is secondarily associated with organic acidemias. Nonketotic hyperglycinemia (NKH) is a disorder of glycine metabol...

Rhabdomyolysis has been reported to be associated with hyperosmolality in diabetic ketoacidosis and non-ketotic hyperosmolal state. Whether the rhabdomyolysis was due to hyperosmolality per se or whether hyperglycaemia also played a role is not clear. We hereby report a case of cranial diabetes insipidus with hypernatraemia and hyperosmolality complicated by rhabdomyolysis. None of the known ri...