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Case Reports
. 2017 Jul;35(7):1036.e3-1036.e4.
doi: 10.1016/j.ajem.2017.02.018. Epub 2017 Feb 5.

Delayed onset diabetic striatopathy: Hemichorea-hemiballism one month after a hyperglycemic episode

Chiu-Jung Lin  1 , Poyin Huang  2
Affiliations
Case Reports

Delayed onset diabetic striatopathy: Hemichorea-hemiballism one month after a hyperglycemic episode

Chiu-Jung Lin et al. Am J Emerg Med. 2017 Jul.

Abstract

Diabetic striatopathy is an uncommon and life threatening manifestation of diabetes mellitus. It has a tendency to occur in the elderly, female and people of Asian descent. Patients usually present with hemichorea-hemiballism caused by non-ketotic hyperglycemia. However, patients could develop diabetic striatopathy weeks after the hyperglycemic event, even when blood sugar has been well controlled. Herein, we report a case of delayed onset diabetic striatopathy and discuss the importance of detailed history and brain magnetic resonance imaging for making prompt and accurate diagnosis.

Keywords: Delayed onset; Diabetic striatopathy; Hemiballism.

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