Hemichorea-hemiballismus as a rare presentation of non-ketotic hyperglycemia: a case report

Hemichorea-hemiballismus is a hyperkinetic movement disorder on one side of the body resulting from involvement contralateral basal ganglia and striatum mainly. A 50-year-old female presented with 5-days history choreiform movements affecting left upper lower limb along hemiface. Her plasma glucose was 576 mgl/dl her urinary ketones were negative suggesting non-ketotic hyperglycemia. Computed tomography revealed hyper-density in right caudate putamen consistent diabetic striatopathy. Non-ketotic hyperglycemia rare cause hemichorea-hemiballismus syndrome. can be an unusual presentation elderly population especially females. Early diagnosis treatment yields excellent prognosis.