Korean J Nephrol.
2006 Jan;25(1):149-152.
Uremic Encephalopathy with Basal Ganglia Lesions in a Diabetic Hemodialysis Patient
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@catholic.ac.kr
- 2Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- 3Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Abstract
- Uremic encephalopathy is usually applied to cortical involvement in uremic patients. The syndrome of acute bilateral basal ganglia lesions very rare occurs in uremic patents, especially diabetic patients. We here report a case of acute uremic encephalopathy with bilateral basal ganglia lesions in a diabetic hemodialysis patient. A 63-year-old woman with diabetes mellitus on chronic hemodialysis treatment for 3 years admitted due to dysathria, facial palsy and gait disturbance, and temporary loss of consciousness. Brain MRI demonstarted low signal in T1 image and high signal in T2 image in both ganglia. With conservative care including regular hemodialysis, the manifestations completely disappeared.
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