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Case Reports
. 2024 Oct 24;16(10):e72284.
doi: 10.7759/cureus.72284. eCollection 2024 Oct.

Diabetic Striatopathy: A Case Report of Two Distinct Presentations in Elderly Patients

Paula A Calvo  1 , Raquel Flores  2
Affiliations
Case Reports

Diabetic Striatopathy: A Case Report of Two Distinct Presentations in Elderly Patients

Paula A Calvo et al. Cureus. .

Abstract

Movement disorders associated with diabetes mellitus (DM) are rare. The diagnosis of diabetic striatopathy (DS) is based on the presence of a triad characterized by hyperglycemia, hemiballismus/chorea, and hypersignal of the basal ganglia on T1-weighted MRI. In most cases, treatment involves glycemic control. DS should be considered a differential diagnosis in episodes of extrapyramidal movements, especially when associated with hyperglycemia in the elderly. In this paper, we present two cases of DS.

Keywords: ballism; chorea; diabetic; hyperglycemia; striatopathy.

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Conflict of interest statement

Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. MRI of Patient 1 showing T1 hypersignal in the lenticular nuclei.
Figure 2
Figure 2. MRI of Patient 2 showing hyposignality in the corpus striatum in FLAIR T2.
FLAIR: fluid-attenuated inversion recovery.
See this image and copyright information in PMC

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