Evidence map›Paper›PMID 41696534›Full record

ArticleNeurologia croatica : glasilo Udruzenja neurologa Jugoslavije = official journal of Yugoslav Neurological Association2025

Diabetic striatopathy: cognitive and behavioral insights from case series and literature synthesis.

Souvik Dubey, Subhankar Chatterjee, Ritwik Ghosh, Payel Biswas, Samya Sengupta, Shambaditya Das, Alak Pandit, Mahua Jana Dubey, Julián Benito-León

Abstract read
In one paragraph

Article in Neurologia croatica : glasilo Udruzenja neurologa Jugoslavije = official journal of Yugoslav Neurological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Souvik DubeyDepartment of Neuromedicine, Bangur Institute of Neurosciences, IPGMER & SSKM Hospital, Kolkata, India.
Subhankar ChatterjeeDepartment of Endocrinology & Metabolism, Medical College & Hospital, Kolkata, India.
Ritwik GhoshDepartment of General Medicine, Burdwan Medical College & Hospital, Burdwan, India.
Payel BiswasDepartment of Radiodiagnosis, GNRC Hospitals, Barasat, Kolkata.
Samya SenguptaDepartment of Neuromedicine, Bangur Institute of Neurosciences, IPGMER & SSKM Hospital, Kolkata, India.
Shambaditya DasDepartment of Neuromedicine, Bangur Institute of Neurosciences, IPGMER & SSKM Hospital, Kolkata, India.
Alak PanditDepartment of Neuromedicine, Bangur Institute of Neurosciences, IPGMER & SSKM Hospital, Kolkata, India.
Mahua Jana DubeyDepartment of Psychiatry, Berhampore Mental Hospital, Berhampore, Murshidabad, India.
Julián Benito-LeónDepartment of Neurology, 12 de Octubre University Hospital, Madrid, Spain.

Funding

ENVIRONMENTAL EPIDEMIOLOGY OF ESSENTIAL TREMORR01NS039422 · NINDS · YALE UNIVERSITY · PI LOUIS, ELAN D · 2000 to 2013
$7.7M
Environmental Epidemiology of Essential TremorR01NS094607 · NINDS · YALE UNIVERSITY · PI LOUIS, ELAN D · 2016 to 2020
$3.9M
NINDS NIH HHS R01 NS039422NINDS NIH HHS R01 NS094607
6 · The paper itself

Abstract

Objective: Neurological disorders affecting the striatum are often associated with cognitive impairments and movement abnormalities. Diabetic striatopathy (DS), a rare complication of diabetes mellitus, has been traditionally associated with hyperkinetic movement disorders. However, comprehensive studies exploring the cognitive-behavioral aspects of this condition remain limited. We aimed to examine the cognitive and behavioral profiles of DS patients and explore mechanisms underlying the differential impact on motor versus cognitive-behavioral functions. Methods: Five consecutive Bengali patients with DS presenting with hemichorea, all without reported cognitive complaints prior to disease onset, underwent comprehensive neuropsychological assessments. These evaluations, conducted three months after the onset of movement disorders, included the Montreal Cognitive Assessment, Addenbrooke's Cognitive Examination-III, and Frontal Assessment Battery. Behavioral changes were assessed using the Neuropsychiatric Inventory. Results: The series included three women and two men (69.7 ± 5.6 years) with poorly controlled diabetes. The cognitive evaluation revealed variable impairments: attention deficits in two patients, executive dysfunction in one, recent memory impairment in two, and language deficits in two patients. Visuospatial and visuoperceptual functions were preserved, while behavioral manifestations included depression, apathy, and obsessive behavior, notably without psychotic features. A literature review identified five previously reported cases of DS with cognitive-behavioral manifestations. Conclusions: DS may produce less severe cognitive-behavioral impairments than other striatal disorders, likely due to selective circuit involvement and preserved compensatory mechanisms. This unique profile may reflect the acute nature of DS pathology, the potential reversibility of striatal changes, and preserved cortical-subcortical connectivity. These findings expand our understanding of DS beyond its classical motor manifestations.

Indexed as

basal gangliacognitive impairmentdiabetic striatopathyhyperglycemiaMRI hyperintensitypsychiatric disturbances

Identifiers

PMID41696534
PMCPMC12904212

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.