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An 81-year-old woman with poorly controlled diabetes mellitus was hospitalized due to hemichoreahemiballism. A radiological examination revealed typical putaminal changes of diabetic hemichoreahemiballism (DHC-HB). Interestingly, brain computed tomography, performed before symptom onset, disclosed a hyperdense lesion in the left basal ganglia, indicating persistent basal ganglia impairment, even before the onset of symptoms, under sustained hyperglycemia. Additionally, an increase in thedoi:10.2169/internalmedicine.53.1359 pmid:24583441 fatcat:4sykfjxfyjentd3b5gb2bytqqa