Paroxysmal painful spasms associated with central pontine myelinolisis in the context of nonketotic hyperglycemia

- Paroxysmal painful spasms might be associated with central pontine myelinolisis.
- Central pontine myelinolisis may be due to hyperglycemic states.
- Central pontine myelinolisis may cause acute-onset movement disorders.
- Prompt recognition and treatment of acute-onset movement disorders are mandatory.