ReVersible MRI Changes in a Patient with Uremic Encephalopathy / 대한신장학회잡지
Korean Journal of Nephrology
;
: 618-621, 2003.
Article
Dans Coréen
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Putamen
/
Urémie
/
Encéphale
/
Imagerie par résonance magnétique
/
Études de suivi
/
Dialyse péritonéale
/
Dialyse péritonéale continue ambulatoire
/
Créatinine
/
Néphropathies diabétiques
/
Dysarthrie
Type d'étude:
Étude observationnelle
/
Étude pronostique
Limites du sujet:
Humains
langue:
Coréen
Texte intégral:
Korean Journal of Nephrology
Année:
2003
Type:
Article
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