We report on an autopsy findings of a 92-year-old male with hemiballism-hem
ichorea associated with hyperglycemia and striatal hyperintensity on T1-wei
ghed magnetic resonance imaging (MRI), a recently described clinicoradiolog
ical syndrome. Histologically, the putamen contralateral to the hemiballism
consisted of multiple foci of recent infarcts associated with reactive ast
rocytic and interneuronal response. Substrate responsible for the MRI signa
l changes is still inconclusive. (C) 2001 Movement Disorder Society.