Please use this identifier to cite or link to this item: https://doi.org/10.1080/00207454.2019.1702540
Title: Acute hemichorea in a young type 1 diabetic
Authors: Lin, JB 
Sng, AA 
Wang, FS 
Tan, AP
Han, VX
Keywords: Diabetic striatopathy
chorea
movement disorder
moyamoya disease
Angiography
Brain
Diabetes Complications
Diabetes Mellitus, Type 1
Female
Humans
Magnetic Resonance Imaging
Movement Disorders
Moyamoya Disease
Young Adult
Issue Date: 2-Jul-2020
Publisher: Informa UK Limited
Citation: Lin, JB, Sng, AA, Wang, FS, Tan, AP, Han, VX (2020-07-02). Acute hemichorea in a young type 1 diabetic. International Journal of Neuroscience 130 (7) : 743-745. ScholarBank@NUS Repository. https://doi.org/10.1080/00207454.2019.1702540
Abstract: Purpose/Aim: Acute movement disorder is an uncommon presenting symptom in patients with diabetes mellitus. We report a 20-year-old lady with poorly controlled type 1 diabetes, who presented with acute hemichorea and was found to have two rare diabetes-related central nervous complications of diabetic striatopathy and severe moyamoya disease (MMD). Materials and methods: She was treated with aggressive glycemic control; clonazepam and tetrabenazine as well as aspirin stroke prophylaxis for her MMD with resolution of her chorea 3 months later. She subsequently underwent cerebral revascularization surgery for her MMD. Results: This case highlights the possible differentials of acute chorea in diabetic patients and explores the pathophysiological mechanisms that may underlie both conditions in patients with type 1 diabetes. Conclusion: We recommend performing both magnetic resonance imaging (MRI) and magnetic resonance angiogram (MRA) brain for comprehensive evaluation of diabetic patients with new onset chorea. Prompt and accurate diagnosis is crucial as it guides prognostication and treatment strategies.
Source Title: International Journal of Neuroscience
URI: https://scholarbank.nus.edu.sg/handle/10635/206153
ISSN: 00207454
15635279
DOI: 10.1080/00207454.2019.1702540
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