{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T07:40:39Z","timestamp":1792482039051,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T00:00:00Z","timestamp":1783296000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hemiballismus\/hemichorea can manifest as a systemic sequala of severe hyperglycemia. This typically resolves with optimal glycemic control supplemented by neuroleptic agents. However, in a subset of patients, this hyperkinetic movement disorder may persist despite maximal medical management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Cases<\/jats:title>\n                    <jats:p>We present a 70\u2010year\u2010old man with type 2 diabetes mellitus (DM) who presented with 6\u2009months of right\u2010sided hemiballismus\/hemichorea that started after a previous episode of nonketotic hyperglycemia. Despite optimal glucose control and the administration of several neuroleptic agents, his symptoms failed to resolve. He underwent left\u2010sided deep brain stimulation (DBS) to the globus pallidus internus (GPi), with subsequent improvement in his hyperkinetic movements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Literature Review<\/jats:title>\n                    <jats:p>We document 7 cases in the literature of posthyperglycemic chorea\u2010ballism (PHGCB) treated with either pallidal or thalamic DBS or pallidotomy. The procedures were safe and well tolerated, and all patients demonstrated clinical improvement following surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PHGCB represents a rare but serious complication of DM. There is a subset of patients who fail to respond to maximal medical therapy. Our illustrative case and review demonstrate that these patients may benefit from neurosurgical intervention. Further studies with long\u2010term follow\u2010up are warranted to substantiate the value of surgical approaches for medically refractory diabetic striatopathy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70728","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T03:28:28Z","timestamp":1783394908000},"page":"2586-2593","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Intervention for Posthyperglycemic Hemiballismus: Illustrative Case and Literature Review"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-4924","authenticated-orcid":false,"given":"Racheed","family":"Mani","sequence":"first","affiliation":[{"name":"Department of Neurology Stony Brook University Hospital  Stony Brook New York USA"},{"name":"Department of Neurological Surgery Stony Brook University Hospital  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9274-4127","authenticated-orcid":false,"given":"Tiffany","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering Stony Brook University  Stony Brook New York USA"},{"name":"Medical Scientist Training Program (MSTP), Renaissance School of Medicine at Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Kim","sequence":"additional","affiliation":[{"name":"Medical Scientist Training Program (MSTP), Renaissance School of Medicine at Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiemeka","family":"Uwakwe","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery Stony Brook University Hospital  Stony Brook New York 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