ArticleMalaysian family physician : the official journal of the Academy of Family Physicians of Malaysia2026
Diabetic striatopathy: A case report of haemichorea in an older adult woman with poorly controlled diabetes.
Article in Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- The diagnosis of diabetic striatopathy should be made only after careful exclusion of all possible differential diagnoses.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026Article
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Abstract
Uncontrolled type 2 diabetes (T2D) is associated with numerous microvascular and macrovascular complications. While clinical focus has often been on acute emergencies such as diabetic ketoacidosis and hyperosmolar hyperglycaemic state, rarer neurological complications also warrant attention. One such under-recognised complication is diabetic striatopathy (DS), also referred to as chorea-hyperglycaemia-basal ganglia syndrome or hyperglycaemia-induced chorea. We present the case of an older adult woman with poorly controlled T2D who developed progressive right-sided involuntary limb movements with twitching of the mouth. Clinical assessments and investigations confirmed DS, and her symptoms resolved completely with glycaemic optimisation and short-term risperidone for symptom relief. This case highlights the importance of recognising this uncommon presentation of uncontrolled T2D in the primary care setting, where timely diagnosis, as well as effective glycaemic optimisation, can lead to full recovery and a good prognosis.
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