Bilateral striatum with high-signal intensity on T1-weighted MRI: A case of hemichorea induced by nonketotic hyperglycemia

Abstract

Hemichorea induced by nonketotic hyperglycemia is a rare complication of diabetes mellitus. Here we present a case of 80-year-old female patient. She had a history of involuntary movement of the left body. Imaging examination showed abnormal signs of bilateral basal ganglia. After relevant treatment was conducted, the patient's hemichorea symptoms were significantly improved. Imaging features of nonketotic hyperglycemia Hemichorea plays a very important role in diagnosing and treatment of this disease.Introduction: Hemichorea refers to the involuntary movements of one or more limbs of the same side. These movements are continuous and irregular, variable amplitude, and usually involve the arms and legs together. Stroke is the most common reason, hyperglycemia is relatively rare. Characteristic imaging findings can be very suggestive of diagnosis, and also closely related to the development of disease. Here we present a case of hemichorea induced by nonketotic hyperglycemia which was confirmed by bilateral abnormal signals of basal ganglia in MRI.

Keywords

• Diabetes mellitus
• Nonketotic hyperglycemia
• T1-weighted MRI