Diffusion-weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia.
In this report, we have presented a diabetic patient with uremia, in which acute Parkinsonism occurred, coupled with acute mental confusion, after a sudden increase in blood urea nitrogen and serum creatinin levels. Diffusion-weighted magnetic resonance imaging revealed a unique cytotoxic-type edema in the bilateral basal ganglia during the acute phase. Signal alterations were shown to regress in accordance with the normalized apparent diffusion coefficient (ADC) values, but irreversible cystic degeneration developed in the globus pallidus, with the very low preceding ADC values.
Kim
Taik-Kun
TK
Department of Diagnostic Radiology, Korea University, College of Medicine, Seoul, Korea. tkkim@kumc.or.kr
Seo
Sang Il
SI
Kim
Jung Hyuck
JH
Lee
Nam Joon
NJ
Seol
Hae Young
HY
D001480:Basal Ganglia Diseases / Q000175:diagnosis*; D001921:Brain / Q000473:pathology*; D003928:Diabetic Nephropathies / Q000150:complications*; D005260:Female; D007839:Functional Laterality; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications; D008279:Magnetic Resonance Imaging; D008875:Middle Aged