title: Delayed onset diabetic striatopathy: Hemichorea-hemiballism one month after a hyperglycemic episode.
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.
authors.affiliation: Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
authors.forename: Chiu-Jung
authors.initials: CJ
authors.lastname: Lin
authors.affiliation: Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Department of Neurology, Kaohsiung Municipal Hsiao-Kang Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; Ph.D. Program in Translational Medicine, Kaohsiung Medical University and Academia Sinica, Taiwan; Department of Neurology, Faculty of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan. Electronic address: u99802003@gmail.com.
authors.forename: Poyin
authors.initials: P
authors.lastname: Huang
mesh_terms: D000368:Aged; D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use*; D000927:Anticonvulsants / Q000627:therapeutic use*; D002998:Clonazepam / Q000627:therapeutic use*; D048909:Diabetes Complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000503:physiopathology*; D003937:Diagnosis, Differential; D020820:Dyskinesias / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology*; D006220:Haloperidol / Q000627:therapeutic use*; D006801:Humans; D006943:Hyperglycemia / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D016896:Treatment Outcome
chemical_list: D018726:Anti-Dyskinesia Agents; D000927:Anticonvulsants; D002998:Clonazepam; D006220:Haloperidol
keywords: Delayed onset; Diabetic striatopathy; Hemiballism