%0 Case Reports
%T Hemichorea-hemiballismus due to diabetic striatopathy a serious complication of uncontrolled diabetes.
%A Middleton B
%A Albany Z
%A Kamer A
%A Kara A
%J BMJ Case Rep
%V 17
%N 5
%D 2024 May 22
%M 38782432
暂无%R 10.1136/bcr-2023-259046
%X We report the case of a man in his mid-80s with diabetes mellitus who presented to the emergency department with a 1-day history of right-sided choreiform movements and falls. Laboratory tests revealed blood glucose of 597 mg/dL. Non-contrast CT imaging of his head demonstrated a faint hyperdensity involving the left lentiform nucleus and brain MRI showed a hyperintensity in the left basal ganglia on T1-weighted images. These lesions are typical of diabetic striatopathy. Symptoms of hemichorea/hemiballismus did not resolve with glycaemic control and several pharmacological agents were tried with eventual improvement with risperidone. He was discharged to a rehabilitation facility and had mild persistent arm chorea at 6-month follow-up.