AI Article Synopsis

  • Diabetic striatopathy is a recognized complication of diabetes primarily seen in adults, with very few cases reported in children.
  • This case study details a teenager diagnosed with diabetic striatopathy experiencing hemichorea-hemiballism alongside symptoms like weight loss and increased thirst and urination.
  • The patient's glycemia control led to quick recovery, despite the presence of confirmed striatal lesions visible through MRI, and the study also explores potential underlying mechanisms of this condition.

Article Abstract

Diabetic striatopathy is a well-known complication of diabetes in adults. To our knowledge, only 2 cases have been reported in children. We here report the case of a teenager in whom diabetic striatopathy was revealed by the subacute appearance of hemichorea-hemiballism in the context of weight loss, polyuria, and polydipsia. Glycemia control allowed rapid clinical recovery despite established striatal lesions documented on MRI. We also discuss current hypotheses about pathophysiological processes underlying this entity.

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Source
http://dx.doi.org/10.1542/peds.2014-3761DOI Listing

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