• J Gen Intern Med · Sep 2024

    Case Reports

    Chorea - Is Diabetes Mellitus the Cause?

    • Tina Phan, Elisabeth Klouda, and Christopher D Jackson.
    • Lt. Col. Luke Weathers, Jr. VA Medical Center, Memphis, TN, USA. Tphan0917@gmail.com.
    • J Gen Intern Med. 2024 Sep 1; 39 (12): 234723502347-2350.

    AbstractDiabetic striatopathy (DS) is an uncommon complication of diabetes characterized by hemiballismus-hemichorea, often accompanied by reversible striatal hyperintensity on neuroimaging. Diabetes is the most common metabolic cause of hemiballismus and hemichorea. However, it is underreported as clinicians do not always consider it in the diagnosis of new movement abnormalities. The prognosis is generally excellent, and management involves glycemic control and anti-chorea medications. We present a case of a patient with bilateral chorea and ballismus and classic MRI findings of DS, though his history of diabetes and substance use confounds the clinical picture of DS.© 2024. The Author(s), under exclusive licence to Society of General Internal Medicine.

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