Browsing by Author "Middleton, Brian"

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    Hemichorea-hemiballismus due to diabetic striatopathy a serious complication of uncontrolled diabetes
    (BMJ, 2024-05-22) Middleton, Brian; Albany, Zhanna; Kamer, Aaron; Kara, Areeba; Radiology and Imaging Sciences, School of Medicine
    We 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.