Diabetic striatopathy (DS) is known as a hyperglycemia-based chorea/ballism. Its classical demonstration is striatal hyper density on computed tomography, or hyperintensity on T1- weighted magnetic resonance imaging. It characterises a somewhat rare hyperglycemia condition that is linked to hyperdensity on computed tomography (CT) and/or hyperintensity on T1-weighted nuclear magnetic resonance imaging (MRI) as well as chorea/ballism and basal ganglia. Patients having a hyperglycaemic condition linked to even one of the following would also be included in DS, per a recent systematic study: (1) ballet or chorea; hyperintensity on T1-weighted MRI or (2) striatal hyperdensity in CT. Additionally, there has been a recent proposal for a potential categorisation of DS. There aren't many case series on this subject that have been documented in the literature yet. It is thought that the prevalence of DS, which has been reported to be 1 in 100,00010, is underreported since most doctors are unaware of the disorder and may mistake it for typical intracerebral hemorrhage. It has been shown that older women with type 2 diabetes mellitus (DM) are more likely to develop the disease. Here, we describe an acute case of DS along with its characteristic radiological features, clinical presentation, imaging and instrumental exams, and treatment strategy. This case report serves as a helpful reminder to medical professionals to take diabetes patients with poor control into account when they exhibit symptoms including altered sensorium, sudden-onset choreiform movement, and ballistic motions.
| Published in | International Journal of Diabetes and Endocrinology (Volume 9, Issue 4) |
| DOI | 10.11648/j.ijde.20240904.12 |
| Page(s) | 71-74 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Striatopathy, Chorea, Hyperglycaemia
| [1] | C.-B. Chua, C.-K. Sun, C.-W. Hsu, Y.-C. Tai, C.-Y. Liang, and I.-T. Tsai, “‘Diabetic striatopathy’: clinical presentations, controversy, pathogenesis, treatments, and outcomes,” Sci Rep, vol. 10, no. 1, p. 1594, Jan. 2020, |
| [2] | F. Rocha Cabrero and O. De Jesus, Hemiballismus. 2023. |
| [3] | A. Arecco, S. Ottaviani, M. Boschetti, P. Renzetti, and L. Marinelli, “Diabetic striatopathy: an updated overview of current knowledge and future perspectives,” J Endocrinol Invest, Aug. 2023, |
| [4] | M. Ghandili and S. Munakomi, Neuroanatomy, Putamen. 2023. |
| [5] | O. Y. Alkhaja, A. Alsetrawi, T. AlTaei, and M. Taleb, “Diabetic striatopathy unusual presentation with ischemic stroke—A case report and literature review,” Radiol Case Rep, vol. 18, no. 6, pp. 2297–2302, Jun. 2023, |
| [6] | M. Dong, J.-Y. E, L. Zhang, W. Teng, and L. Tian, “Non-ketotic Hyperglycemia Chorea-Ballismus and Intracerebral Hemorrhage: A Case Report and Literature Review,” Front Neurosci, vol. 15, Jun. 2021, |
| [7] | M. J. Sąsiadek, “Intracranial lesions with high signal intensity on T1-weighted MR images – review of pathologies,” Pol J Radiol, vol. 78, no. 4, pp. 36–46, 2013, |
| [8] | T. R. Guilarte, “Manganese and Parkinson’s Disease: A Critical Review and New Findings,” Environ Health Perspect, vol. 118, no. 8, pp. 1071–1080, Aug. 2010, |
| [9] | J. D. Eastwood, S. T. Engelter, J. F. MacFall, D. M. Delong, and J. M. Provenzale, “Quantitative assessment of the time course of infarct signal intensity on diffusion-weighted images.,” AJNR Am J Neuroradiol, vol. 24, no. 4, pp. 680–7, Apr. 2003. |
| [10] | Q. Miao, C. Nitsche, H. Orton, M. Overhand, G. Otting, and M. Ubbink, “Paramagnetic Chemical Probes for Studying Biological Macromolecules,” Chem Rev, vol. 122, no. 10, pp. 9571–9642, May 2022, |
| [11] | S. Chatterjee, R. Ghosh, and S. Dubey, Diabetic Striatopathy. 2000. |
APA Style
Modi, J., Gami, V., Teraiya, T., Shah, S., Desai, D. (2024). Exploring the Link Between Diabetes and Striatopathy: A Case Report. International Journal of Diabetes and Endocrinology, 9(4), 71-74. https://doi.org/10.11648/j.ijde.20240904.12
ACS Style
Modi, J.; Gami, V.; Teraiya, T.; Shah, S.; Desai, D. Exploring the Link Between Diabetes and Striatopathy: A Case Report. Int. J. Diabetes Endocrinol. 2024, 9(4), 71-74. doi: 10.11648/j.ijde.20240904.12
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Download@article{10.11648/j.ijde.20240904.12,
author = {Janushee Modi and Vismit Gami and Tushar Teraiya and Sahil Shah and Dev Desai},
title = {Exploring the Link Between Diabetes and Striatopathy: A Case Report
},
journal = {International Journal of Diabetes and Endocrinology},
volume = {9},
number = {4},
pages = {71-74},
doi = {10.11648/j.ijde.20240904.12},
url = {https://doi.org/10.11648/j.ijde.20240904.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijde.20240904.12},
abstract = {Diabetic striatopathy (DS) is known as a hyperglycemia-based chorea/ballism. Its classical demonstration is striatal hyper density on computed tomography, or hyperintensity on T1- weighted magnetic resonance imaging. It characterises a somewhat rare hyperglycemia condition that is linked to hyperdensity on computed tomography (CT) and/or hyperintensity on T1-weighted nuclear magnetic resonance imaging (MRI) as well as chorea/ballism and basal ganglia. Patients having a hyperglycaemic condition linked to even one of the following would also be included in DS, per a recent systematic study: (1) ballet or chorea; hyperintensity on T1-weighted MRI or (2) striatal hyperdensity in CT. Additionally, there has been a recent proposal for a potential categorisation of DS. There aren't many case series on this subject that have been documented in the literature yet. It is thought that the prevalence of DS, which has been reported to be 1 in 100,00010, is underreported since most doctors are unaware of the disorder and may mistake it for typical intracerebral hemorrhage. It has been shown that older women with type 2 diabetes mellitus (DM) are more likely to develop the disease. Here, we describe an acute case of DS along with its characteristic radiological features, clinical presentation, imaging and instrumental exams, and treatment strategy. This case report serves as a helpful reminder to medical professionals to take diabetes patients with poor control into account when they exhibit symptoms including altered sensorium, sudden-onset choreiform movement, and ballistic motions.
},
year = {2024}
}
TY - JOUR T1 - Exploring the Link Between Diabetes and Striatopathy: A Case Report AU - Janushee Modi AU - Vismit Gami AU - Tushar Teraiya AU - Sahil Shah AU - Dev Desai Y1 - 2024/11/13 PY - 2024 N1 - https://doi.org/10.11648/j.ijde.20240904.12 DO - 10.11648/j.ijde.20240904.12 T2 - International Journal of Diabetes and Endocrinology JF - International Journal of Diabetes and Endocrinology JO - International Journal of Diabetes and Endocrinology SP - 71 EP - 74 PB - Science Publishing Group SN - 2640-1371 UR - https://doi.org/10.11648/j.ijde.20240904.12 AB - Diabetic striatopathy (DS) is known as a hyperglycemia-based chorea/ballism. Its classical demonstration is striatal hyper density on computed tomography, or hyperintensity on T1- weighted magnetic resonance imaging. It characterises a somewhat rare hyperglycemia condition that is linked to hyperdensity on computed tomography (CT) and/or hyperintensity on T1-weighted nuclear magnetic resonance imaging (MRI) as well as chorea/ballism and basal ganglia. Patients having a hyperglycaemic condition linked to even one of the following would also be included in DS, per a recent systematic study: (1) ballet or chorea; hyperintensity on T1-weighted MRI or (2) striatal hyperdensity in CT. Additionally, there has been a recent proposal for a potential categorisation of DS. There aren't many case series on this subject that have been documented in the literature yet. It is thought that the prevalence of DS, which has been reported to be 1 in 100,00010, is underreported since most doctors are unaware of the disorder and may mistake it for typical intracerebral hemorrhage. It has been shown that older women with type 2 diabetes mellitus (DM) are more likely to develop the disease. Here, we describe an acute case of DS along with its characteristic radiological features, clinical presentation, imaging and instrumental exams, and treatment strategy. This case report serves as a helpful reminder to medical professionals to take diabetes patients with poor control into account when they exhibit symptoms including altered sensorium, sudden-onset choreiform movement, and ballistic motions. VL - 9 IS - 4 ER -
Department of Medicine, B. J Medical College, Ahmedabad, India
Department of Medicine, Smt. NHL Municipal Medical College, Ahmedabad, India
Department of Medicine, Smt. NHL Municipal Medical College, Ahmedabad, India
