%0 Case Reports
%T Diabetic Hemichorea-hemiballism after Prompt Improvement in Hyperglycemia.
%A Kitagawa M
%A Yamanaka Y
%A Adachi T
%A Ito J
%A Fukase K
%A Ohta I
%A Katagiri T
%J Intern Med
%V 56
%N 22
%D Nov 2017 15
%M 28943546
%F 1.282
%R 10.2169/internalmedicine.8615-16
%X We herein report a case of hemichorea-hemiballism in an 85-year-old man diagnosed with diabetes at 76 years of age. After a one-year interruption in treatment, he was treated with a low-calorie diet, linagliptin, and nateglinide. Over 51 days, his HbA1c level decreased from 15.8% to 7.7%. After a prompt improvement in his hyperglycemia, he began experiencing involuntary movements in the right upper and lower extremities. T1-weighted magnetic resonance imaging showed a high signal intensity in the left lens nucleus. The patient was diagnosed with diabetic hemichorea-hemiballism and received haloperidol (1 mg/day) as treatment.