Diabetic Striatopathy: A Rare Microvascular Neurological Diabetic Complication
Keywords:
Diabetic striatopathy, Choreoathetosis, Hemichorea/hemiballism, Corpus striatumAbstract
Diabetic striatopathy is a rare neurological diabetic complication which has an incidence of 1:100,000 population. This report presents a female with poorly controlled type 2 diabetes and hypertension, who presented with right sided choreoathetosis. No other neurological abnormalities were found on physical examination. Brain imaging showed hyperdensity of the left caudate and left lentiform nuclei on non-contrast CT scan. The patient made a complete recovery from the abnormal movements following tight glucose control and introduction of trihexyphenidyl and haloperidol. A follow up CT scan 6 months following presentation revealed resolution of the previous striatal abnormalities.
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