ArticleThe Neurohospitalist2022
Recurrent Facial Focal Seizures With Chronic Striatopathy and Caudate Atrophy-A Double Whammy in an Elderly Woman With Diabetes Mellitus.
Article in The Neurohospitalist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Diabetic Striatopathy in a Middle-Aged African Woman With Poorly Controlled Type 2 Diabetes Mellitus and HIV Coinfection-A Case Report.Clinical case reports · 2026Article
- Ipsilateral diabetic striatopathy: A case of clinicoradiological discordance and evolving movement disorders.Qatar medical journal · 2025Article
- An Unusual Movement Disorder-Case of Diabetic Striatopathy.JCEM case reports · 2024Article
- Non-ketotic Hyperglycemia Presenting as Focal Status Epilepticus and Subsequent Todd's Paralysis.Cureus · 2024Article
- Knowledge gaps in diabetic striatopathy and other movement disorders in diabetes.Journal of endocrinological investigation · 2024Article
- Article
- Diabetic Striatopathy: Parenchymal Transcranial Sonography as a Supplement to Diagnosis at the Emergency Department.Diagnostics (Basel, Switzerland) · 2022Article
- Clinical and imaging features of diabetic striatopathy: report of 6 cases and literature review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022Review
- Acute onset movement disorders in diabetes mellitus: A clinical series of 59 patients.European journal of neurology · 2022Article
- Diabetic Striatopathy Complicated With Acute Ischemic Stroke: A Case Report.Frontiers in neuroscience · 2022Article
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Authors and funding
7 authors at 5 institutions in 2 countries.
Funding
Abstract
Seizures and involuntary movements are relatively rare, but well-known neurological complications of non-ketotic hyperglycemia. While hemichorea-hemiballism secondary to diabetic striatopathy is increasingly being reported, unilateral caudate atrophy resulting from chronic vascular insufficiency/insult in a backdrop of poorly controlled diabetes mellitus is sparsely described in literature. We herein report a 75-year-old woman with poorly controlled diabetes mellitus who presented with concurrent epilepsia partialis continua involving left side of her face and hemichorea on the right side in the context of non-ketotic hyperglycemia. Neuroimaging revealed a space-occupying lesion suggestive of low-grade glioma in the right superior frontal cortex and left-sided caudate atrophy as well. Possibly, space-occupying lesion in motor cortex acted as an inciting factor for seizures and non-ketotic hyperglycemia further lowered the seizures threshold. On the other hand, atrophied left caudate had led to persistent choreiform movements secondary to chronic uncontrolled hyperglycemia. The simultaneous presence of acute and chronic neurological complications of diabetes mellitus makes this case unique. It also highlights the need for strict control of blood glucose and utility of appropriate neuroimaging to rapidly diagnose and prevent further complications.
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