[Hemichorea caused by striatal infarct in a young type 1 diabetic patient].
Movement disorders such as chorea and ballism rarely occur in diabetes mellitus. We report the case of 26-year-old man with a 13-year-history of type 1 diabetes mellitus. He presented with a right side hemichorea. Brain CT-scan and MRI showed an infarction of the head of the caudate nucleus and the anterior part of the putamen. Presence of microangiopathy affecting retina, kidneys and peripheral nerves suggest a similar involvement of the lenticulo-striatal arteries. Hemichorea and hemiballism usually occur in older patients presenting type 2 diabetes mellitus. Non-ketotic hyperglycaemia is the common cause in such situation. Striatal infarct, as seen in our patient, is rarely reported.
Bellassoued
M
M
Service d'endocrinologie, CHU Hédi Chaker, Sfax, Tunisie.
Mhiri
C
C
Triki
C
C
Abid
M
M
D000328:Adult; D020144:Basal Ganglia Cerebrovascular Disease / Q000175:diagnosis*; D002421:Caudate Nucleus / Q000473:pathology; D002544:Cerebral Infarction / Q000175:diagnosis*; D002819:Chorea / Q000175:diagnosis* / Q000209:etiology; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009460:Neurologic Examination; D011699:Putamen / Q000473:pathology