Exploring the Link Between Diabetes and Striatopathy: A Case Report

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.