CLINICAL IMAGES

A 67-year-old woman with hypertension, uncontrolled type 2 diabetes mellitus (T2DM), and end-stage renal disease presented to the emergency department with in-voluntary chorea-form movements involving the right side of her face and her right arm and leg. Fluid-attenuated inversion recovery magnetic resonance image of her brain demonstrated hyper-intensity in the lenticular nucleus (image, arrow). Her blood glucose level was 392 mg/dL and hemo-globin A1c was 7.5%. She received insulin, dietary changes, clonidine, hydralazine, hemodialysis, an