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JMD was adjusted. She was subsequently discharged after 14 days of hospital stay with improved glycemic control. At this time, she was able to stand with support but still had some difficulty walking. Her chorea-ballismus resolved eight weeks after discharge. Therefore, her haloperidol dosage was reduced from 4.5 mg to 2.25 mg daily. She returned to the clinic for review five months after the initial symptom onset. There was no recurrence of the right-sided hemichorea-hemiballismus, and a repeat brain MRI showed marked improvement in the putaminal changes (Figure 1). However, new hyperkinetic movement disorders were observed, consisting of stereotypic forward truncal flexion movements and mild oro-buccal dyskinesias, which were diagnosed as a neuroleptic-induced tardive syndrome. A switch from haloperidol (1.5 mg morning, 0.75 mg evening) to tetrabenazine (25 mg twice daily) significantly …