Uremic Encephalopathy with Basal Ganglia Lesions in a Diabetic Hemodialysis Patient.
- Author:
Eun Sook KIM
1
;
Young Ok KIM
;
Jeong Wook PARK
;
Young Joo KIM
;
Soo Seong OH
;
Young Soo KIM
;
Sun Ae YOON
;
Yoon Sik CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmckyo@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Hemodialysis;
Diabetes mellitus;
Basal ganglia;
Uremic encephalopathy
- MeSH:
Basal Ganglia*;
Brain;
Diabetes Mellitus;
Facial Paralysis;
Female;
Gait;
Ganglia;
Humans;
Magnetic Resonance Imaging;
Middle Aged;
Renal Dialysis*;
Unconsciousness
- From:Korean Journal of Nephrology
2006;25(1):149-152
- CountryRepublic of Korea
- Language:Korean
-
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.
