ABSTRACT

A rare hyperkinetic movement condition called hemiballismus is typified by powerful, involuntary, and ballistic limb motions. It is usually brought on by injuries in the basal ganglia on the opposite side. We report the case of a 65-year-old man who has dysarthria, poorly managed diabetic mellitus, and coronary artery disease. He also has left-sided hemiballismus. The left inferior cerebellar hemisphere had persistent ischemic alterations and gliosis on CT and MRI, most likely as a result of an earlier stroke. A multidisciplinary strategy was used to treat the patient, involving the use of insulin for glycemic control and drugs such as tetrabenazine, clonazepam, and haloperidol to control hyperkinetic movements. The patient showed notable improvement in his neurological condition during his stay in the hospital. This case study emphasizes to treat hemiballismus by controlling vascular risk factors and glycemic management, as well as by conducting regular follow-ups to ensure the best outcomes. Keywords: hyperkinetic movement condition, hemiballismus, ballistic limb motions
Publication date: 01/04/2026

https://www.ijbpas.com/pdf/2026/April/MS_IJBPAS_2026_10031.pdf

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https://doi.org/10.31032/IJBPAS/2026/15.4.10031