Movement disorders are clinical syndrome with either excess or paucity of voluntary or involuntary movement which is not related to weakness or spasticity (1). Causes of abnormal movements consist of neurological diseases like Parkinson's disease, progressive supranuclear palsy, drug induced, idiopathic and some metabolic causes like uncontrolled blood sugar level. Non-ketotic hyperglycemia (NKH) has been associated with various neurological disorders, and among these, chorea-ballismus is one of the most frequently observed movement disorder. A patient presented to our hospital with involuntary, jerky, unpredictable, non rhythmic, repetitive movements involving left upper and lower limb. On examination his blood sugar level was high with no focal neurological deficit. He was started on insulin therapy. As his blood sugar level came down to normal limits, his movements started disappearing.

{"references": ["1 Tiago Medina Salata, L\u00edvia de Oliveira Antunes Bruno et al. Non ketotic with hyperglycemia with abnormal movements. Radiol Bras. 2017;50(5):338- 339. 2 Bizet J, Cooper CJ, Quansah R, Rodriguez E, Teleb M, Hernandez GT. Hyperglycemia, Basal Ganglia Syndrome (C-H-BG) in an uncontrolled diabetic patient with normal glucose levels on presentation. Am J Case Rep. 2014; 15: 143\u2013146. 3 El Otmani H, Moutaouakil F, Fadel H, El Ouafi N, Abdoh Rafai M, El Moutaouakil B, et al. Chorea- ballismus in acute non-ketotic Hypergl-ycaemia. 2009;24(3):129-32. 4 Younes S, Cherif Y, Aissi M, Alaya W, Berriche O, Boughammoura A, et al. Seizures and movement disorders induced by hyperglycemia without ketosis in elderly Iran. J Neurol. 2014;13(3): 172\u2013176."]}