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ReVersible MRI Changes in a Patient with Uremic Encephalopathy / 대한신장학회잡지
Korean Journal of Nephrology ; : 618-621, 2003.
Artículo en Coreano | WPRIM | ID: wpr-50993
ABSTRACT
Uremic encephalopathy is a well-known complication in uremia and may result from changes of cerebral metabolism due to uremic toxins. Specific morphological changes have not been observed and pathogenesis is still unclear. We experienced a case with uremic encephalopathy in whom reVersible abnormalities were observed on brain magnetic resonance image (MRI). A 61-year-old man with chronic renal faliure due to diabetic nephropathy started automated peritoneal dialysis (APD) one year ago (therapy time 10 hours, number of cycles 5, fill volume per cycle 2 L). He developed gait disturbance and dysarthria after he dwelled icodextrin contained 2 L dialysate over night instead of APD. In that time, his weekly Kt/V and creatinine clearance were 1.5 and 87.5 L/week/1.73 m2, respectively. On brain MRI, low signal in T1 image and high signal in T2 image were seen in putamen and globus pallidus bilaterally. Insufficient peritoneal dialysis adequacy was documented, and the patient was switched from APD to continuous ambulatory peritoneal dialysis (CAPD). After than, his symptom gradually improved. On follow-up MRI 2 months later, previous lesion has disappeared.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Putamen / Uremia / Encéfalo / Imagen por Resonancia Magnética / Estudios de Seguimiento / Diálisis Peritoneal / Diálisis Peritoneal Ambulatoria Continua / Creatinina / Nefropatías Diabéticas / Disartria Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Año: 2003 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Putamen / Uremia / Encéfalo / Imagen por Resonancia Magnética / Estudios de Seguimiento / Diálisis Peritoneal / Diálisis Peritoneal Ambulatoria Continua / Creatinina / Nefropatías Diabéticas / Disartria Tipo de estudio: Estudio observacional / Estudio pronóstico Límite: Humanos Idioma: Coreano Revista: Korean Journal of Nephrology Año: 2003 Tipo del documento: Artículo