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Korean J Radiol.  2012 Dec;13(6):808-811. 10.3348/kjr.2012.13.6.808.

Uremic Encephalopathy with Atypical Magnetic Resonance Features on Diffusion-Weighted Images

Affiliations
  • 1Department of Radiology, Wonkwang University School of Medicine & Hospital, Iksan 570-711, Korea. medicalq@hanmail.net

Abstract

Uremic encephalopathy is a well-known disease with typical MR findings including bilateral vasogenic or cytotoxic edema at the cerebral cortex or basal ganglia. Involvement of the basal ganglia has been very rarely reported, typically occurring in uremic-diabetic patients. We recently treated a patient who had non-diabetic uremic encephalopathy with an atypical lesion distribution involving the supratentorial white matter, without cortical or basal ganglia involvement. To the best of our knowledge, this is only the second reported case of non-diabetic uremic encephalopathy with atypical MR findings.

Keyword

Uremic encephalopathy; Magnetic resonance imaging; Diffusion-weighted imaging

MeSH Terms

Adult
Brain Diseases, Metabolic/*diagnosis
*Diffusion Magnetic Resonance Imaging
Humans
Male
Uremia/*complications
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