Tetrabenazine for hyperglycemic-induced hemichorea-hemiballismus

Oraporn Sitburana, William G. Ondo

Research output: Contribution to journalArticlepeer-review

43 Scopus citations


We reported a 74-year-old woman with new-onset diabetes mellitus who presented with the sudden onset of mild left hemiparesis and marked left hemichorea-hemiballismus. Brain CT scan and MRI showed T1W, T2W, and DWI lesions in the right putamen and caudate, which have been previously reported in cases of hyperglycemic-induced hemichorea-hemiballismus (HIHH). The patient dramatically responded to tetrabenazine within a day. Subsequent dose reductions lead to a reemergence of symptoms. Tetrabenazine improves a variety of hyperkinetic movement disorders but, to our knowledge, its use has never been reported for HIHH.

Original languageEnglish (US)
Pages (from-to)2023-2025
Number of pages3
JournalMovement Disorders
Issue number11
StatePublished - Nov 2006


  • Ballismus
  • Chorea
  • Hyperglycemia
  • Tetrabenazine

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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