Bilateral basal ganglia and unilateral cortical involvement in a diabetic uremic patient.
We report a 57-year-old woman with uremic encephalopathy who presented with dysarthria, dysphagia, hypophonia, and drowsiness. The patient's radiologic findings were rather unusual in that magnetic resonance imaging (MRI) showed abnormal findings involving the basal ganglia bilaterally and frontal cortex unilaterally. After intensified hemodialysis, her symptoms and follow-up brain MRI showed marked improvement. We postulated that the underlying mechanism of uremic encephalopathy based on diffusion-weighted imaging and apparent diffusion coefficient maps.
Yoon
Chang Hyo
CH
Department of Neurology, School of Medicine, Catholic University of Daegu, Daegu, Republic of Korea.
Seok
Jung Im
JI
Lee
Dong Kuck
DK
An
Gee Sung
GS
D001479:Basal Ganglia / Q000473:pathology; D001480:Basal Ganglia Diseases / Q000209:etiology* / Q000473:pathology; D001786:Blood Glucose; D002540:Cerebral Cortex / Q000473:pathology*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000473:pathology; D005260:Female; D006801:Humans; D007677:Kidney Function Tests; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D006435:Renal Dialysis; D014511:Uremia / Q000150:complications* / Q000473:pathology
D001786:Blood Glucose