Diabetic striatopathy (DS) is a rare condition present as a combination of hemichorea or hemiballismus with striatal computed tomography (CT) or magnetic resonance imaging (MRI) changes in the presence of a severely hyperglycemic state. Varying severity and manifestations of DS were reported throughout the literature. However, the exact pathogenesis and mechanism remain unclear. In this case report, we are presenting an unusual case of DS combined with acute ischemic stroke. A 74-year-old male presented with the main complaint of acute left arm and leg weakness, and was found to have significantly high blood sugar and evidence of DS in combination with stroke on CT and MRI. Eventually, he was labeled as a case of combined DS and ischemic stroke.
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