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Diabetic Striatopathy: A Case Report of Two Distinct Presentations in Elderly Patients
Paula A Calvo1, Raquel Flores2
1Endocrinology, Diabetes and Metabolism, Unidade Local de Saúde Lisboa Ocidental - Hospital de Egas Moniz, Lisbon, PRT.
Abstract:
Movement disorders associated with diabetes mellitus (DM) are rare. The diagnosis of diabetic striatopathy (DS) is based on the presence of a triad characterized by hyperglycemia, hemiballismus/chorea, and hypersignal of the basal ganglia on T1-weighted MRI. In most cases, treatment involves glycemic control. DS should be considered a differential diagnosis in episodes of extrapyramidal movements, especially when associated with hyperglycemia in the elderly. In this paper, we present two cases of DS.
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