Middleton, BrianAlbany, ZhannaKamer, AaronKara, Areeba2024-08-052024-08-052024-05-22Middleton B, Albany Z, Kamer A, Kara A. Hemichorea-hemiballismus due to diabetic striatopathy a serious complication of uncontrolled diabetes. BMJ Case Rep. 2024;17(5):e259046. Published 2024 May 22. doi:10.1136/bcr-2023-259046https://hdl.handle.net/1805/42611We report the case of a man in his mid-80s with diabetes mellitus who presented to the emergency department with a 1-day history of right-sided choreiform movements and falls. Laboratory tests revealed blood glucose of 597 mg/dL. Non-contrast CT imaging of his head demonstrated a faint hyperdensity involving the left lentiform nucleus and brain MRI showed a hyperintensity in the left basal ganglia on T1-weighted images. These lesions are typical of diabetic striatopathy. Symptoms of hemichorea/hemiballismus did not resolve with glycaemic control and several pharmacological agents were tried with eventual improvement with risperidone. He was discharged to a rehabilitation facility and had mild persistent arm chorea at 6-month follow-up.en-USAttribution-NonCommercial 4.0 InternationalEndocrine systemNeurologyPrimary careDiabetesMovement disordersArticle