Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome
Chorea-hyperglycemia-basal ganglia syndrome is a rare complication of hyperglycemia and unilateral hemichorea-hemiballismus syndrome. Synonyms include diabetic striatopathy and non-ketotic hyperglycemic hemichorea. This occurs in 90% of individuals of Asian descent, particularly female patients with...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2024-05-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1342 |
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| author | Ifeoma Kwentoh Phone Win Fnu Allah Yar Sabeena Shaikh Tasheka McPherson Terrence Henry Leszek Pisinski Raji Ayinla |
| author_facet | Ifeoma Kwentoh Phone Win Fnu Allah Yar Sabeena Shaikh Tasheka McPherson Terrence Henry Leszek Pisinski Raji Ayinla |
| author_sort | Ifeoma Kwentoh |
| collection | DOAJ |
| description | Chorea-hyperglycemia-basal ganglia syndrome is a rare complication of hyperglycemia and unilateral hemichorea-hemiballismus syndrome. Synonyms include diabetic striatopathy and non-ketotic hyperglycemic hemichorea. This occurs in 90% of individuals of Asian descent, particularly female patients with type 2 diabetes. Diagnosis is made when the mean serum glucose level is 481.5 mg/dL, HbA1c level 14.4%, and serum osmolarity of 305.9 mmol/kg. It is managed with antipsychotic drugs and insulin. We report an 80-year-old man with diabetes who presented with disabling unintentional movements of his left extremities affecting his quality of life. Computed tomography and magnetic resonance imaging of the head demonstrated findings of diabetic striatopathy. Risperidone and glycemic control resolved the chorea like-movements. |
| format | Article |
| id | doaj-art-435ca4a2b5d346209d773002df984c9f |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2024-05-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-435ca4a2b5d346209d773002df984c9f2025-08-20T02:27:20ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-05-013510.7326/aimcc.2023.1342Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) SyndromeIfeoma Kwentoh0Phone Win1Fnu Allah Yar2Sabeena Shaikh3Tasheka McPherson4Terrence Henry5Leszek Pisinski6Raji Ayinla71Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New York1Harlem Hospital Center, New York, New YorkChorea-hyperglycemia-basal ganglia syndrome is a rare complication of hyperglycemia and unilateral hemichorea-hemiballismus syndrome. Synonyms include diabetic striatopathy and non-ketotic hyperglycemic hemichorea. This occurs in 90% of individuals of Asian descent, particularly female patients with type 2 diabetes. Diagnosis is made when the mean serum glucose level is 481.5 mg/dL, HbA1c level 14.4%, and serum osmolarity of 305.9 mmol/kg. It is managed with antipsychotic drugs and insulin. We report an 80-year-old man with diabetes who presented with disabling unintentional movements of his left extremities affecting his quality of life. Computed tomography and magnetic resonance imaging of the head demonstrated findings of diabetic striatopathy. Risperidone and glycemic control resolved the chorea like-movements.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1342 |
| spellingShingle | Ifeoma Kwentoh Phone Win Fnu Allah Yar Sabeena Shaikh Tasheka McPherson Terrence Henry Leszek Pisinski Raji Ayinla Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome Annals of Internal Medicine: Clinical Cases |
| title | Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome |
| title_full | Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome |
| title_fullStr | Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome |
| title_full_unstemmed | Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome |
| title_short | Diabetic Striatopathy: A Rare Case Report of Chorea, Hyperglycemia, Basal Ganglia (C-H-BG) Syndrome |
| title_sort | diabetic striatopathy a rare case report of chorea hyperglycemia basal ganglia c h bg syndrome |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1342 |
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