title: Bilateral basal ganglia and cerebellar lesions in an alcoholic hyperosmolar patient.
abstract: Bilateral symmetrical basal ganglia lesions may be caused by hypoxic/ischemic injury. However, similar lesions have not been described in the cerebellar cortex. To report a case of bilateral basal ganglia and cerebellar lesions in an alcoholic patient with hyperglycemia and hypotension. A 47-year-old alcoholic man with hypotension of unknown duration and hyperosmolarity had mild weakness of the left upper extremity. Neuroimaging revealed abnormality of bilateral symmetric globus pallidus and inferior cerebellum. Prolonged hypotension with hyperosmolarity may give rise to bilateral basal ganglia and cerebellar lesions.
authors.affiliation: Department of Neurosciences, University of Medicine and Dentistry New Jersey-University Hospital, Newark, New Jersey 07103, USA.
authors.forename: Subasini
authors.initials: S
authors.lastname: Dash
authors.forename: Halima
authors.initials: H
authors.lastname: Karim
authors.forename: Mukesh
authors.initials: M
authors.lastname: Solanky
authors.forename: Catalina
authors.initials: C
authors.lastname: Ionita
authors.forename: Patrick
authors.initials: P
authors.lastname: Pullicino
mesh_terms: D000437:Alcoholism / Q000150:complications*; D001480:Basal Ganglia Diseases / Q000209:etiology*; D001921:Brain / Q000000981:diagnostic imaging*; D002526:Cerebellar Diseases / Q000209:etiology*; D006801:Humans; D007022:Hypotension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009994:Osmolar Concentration; D014057:Tomography, X-Ray Computed