eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-08-06 4 7 245 247 10.12691/ajmcr-4-7-8 AJMCR2016478 article Waseem Zaid Alkilani 1 Hassan Tahir hassantahir_01@hotmail.com 1 Nathan Gibb 1 Saad Ullah 1 Nagadarshini Ramagiri Vinod 1 Department of Internal Medicine, Temple University/Conemaugh Memorial Hospital, Johnstown, PA 15905, USA Diabetes Mellitus commonly presents as polyuria, polydipsia, fatigue and polyphagia, though patients presenting with acute complications at the time of diagnosis are not uncommon. Stroke and neuropathies are the most common neurological complications of diabetes. Movement disorder like chorea and hemiballismus are very rarely associated with diabetes mellitus. Primary care physicians should be aware of these rare and complicit presentation of diabetes. We present a case of nonketotic hyperglycemic hemiballismus (NHH) with no acute abnormality seen on MRI brain. http://pubs.sciepub.com/ajmcr/4/7/8/ajmcr-4-7-8.pdf hemiballismus hyperglycemia nonketotic hemichorea/hemiballismus