Hyperkinetic Movement Caused by Diabetic Striatopathy: A Case Report

Authors

  • Ajay Kumar Agarwalla Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Aminur Rahman Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Sharif Ahmed Assistant Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Md Alamgir Hossain Registrar, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Mahbubul Hakim Mishu Resident, Department of Neurology, Sir Salimullah Medical College Mitford Hospital, Dhaka- 1100, Bangladesh
  • Shahjada Mohammad Dastegir Khan Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Biplab Paul Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Pallab Kanti Saha Assistant Professor, Department of Neurology, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh
  • Md Daharul Islam Professor, Department of Medicine, Sir Salimullah Medical College, Dhaka- 1100, Bangladesh

DOI:

https://doi.org/10.3329/bjm.v36i2.81137

Keywords:

Hyperglycemia,, acute respiratory distress syndrome (ARDS), Chorea-hyperglycaemia-basal ganglia syndrome

Abstract

Hyperkinetic movement like chorea is rare in uncontrolled diabetic patients. Increased level of glucose affects the basal ganglia known as diabetic striatopathy. Synonym of this condition includes hemichorea-hemiballismus, chorea-hyperglycemia-hemiballismus syndrome, non-ketotic hyperglycemic hemichorea. We report a 65-year-old woman with uncontrolled diabetes who presented with unintentional ballistic movements of his right upper and lower extremities making her disabled. Magnetic resonance imaging of her brain demonstrated findings suggestive of diabetic striatopathy. Antipsychotics (eg. Haloperidol) helped to control her chorea-like movements. Strict glycemic control was advised to prevent recurrence.

Bangladesh J Medicine 2025; 36(2): 136-138  

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Published

2025-05-05

How to Cite

Agarwalla, A. K., Rahman, A., Ahmed, S., Hossain, M. A., Mishu, M. H., Dastegir Khan, S. M., … Islam, M. D. (2025). Hyperkinetic Movement Caused by Diabetic Striatopathy: A Case Report. Bangladesh Journal of Medicine, 36(2), 136–138  . https://doi.org/10.3329/bjm.v36i2.81137

Issue

Vol. 36 No. 2 (2025)

Section

Case Reports