Presentation
Right-sided facial droop and right body numbness and dysarthria. Whole body weakness and multiple falls over the past 10 days.
Patient Data
Age: 55 years
Gender: Female
From the case:
Non-ketotic hyperglycemic hemichorea
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/135480/annotated_viewer_json?lang=us"}
There is intrinsic T1 shortening within the left putamen, without associated susceptibility artifact. Postcontrast sequences also display uniform enhancement of the left insular cortex as well as a punctate focus of enhancement within the left frontal centrum semiovale white matter.
Case Discussion
This is a case of non-ketotic-hyperglycemic-hemichorea (also known as diabetic striatopathy). The patient had a history of severely uncontrolled diabetes mellitus (HbA1c ~18.0). Symptoms slowly improved after starting the patient on insulin.
Co-author:
Daniel Gewolb, MD
Unable to process the form. Check for errors and try again.