Your browser doesn't support javascript.
loading
Recurrent Acute Uremic Encephalopathy Associated with Reversible Bilateral Basal Ganglia Lesion / 대한신장학회지
Article em Ko | WPRIM | ID: wpr-157340
Biblioteca responsável: WPRO
ABSTRACT
Uremic encephalopathy is a well-known complication in uremia and rarely occurs with involuntary movements which represent basal ganglia lesion. We experienced a cases of recurrent acute uremic encephalopathy associated with reversible bilateral basal ganglia lesion. A 49-year-old man with end stage renal disease due to diabetic nephropathy on continuous ambulatory peritoneal dialysis (CAPD) treatment for the last 2 months was admitted for mental change. His blood sugar was 60 mg/dl, and his mentality was recovered after glucose solution infusion. Five days after admission, he suddenly developed dysarthria and chorea. Brain magnetic resonance imaging (MRI) demonstrated low and high signals on bilateral basal ganglia in T1-weighted and T2-weighted images, respectively. After intensified CAPD treatment, his neurologic manifestations were resolved. One month after discharge, follow-up brain MRI showed decreased size of low attenuation on the basal ganglia. Two months later, he repeatedly developed dysarthria and involuntary movement of extremities. Newly developed bilateral symmetric T1 low and T2 high signal lesion on the basal ganglia was repeatedly observed on brain MRI. At that time, (his) Kt/V was 1.33. So we decided on him to switch from CAPD to hemodialysis, after then his symptoms disappeared.
Assuntos
Palavras-chave
Texto completo: 1 Índice: WPRIM Assunto principal: Uremia / Gânglios da Base / Glicemia / Encéfalo / Imageamento por Ressonância Magnética / Seguimentos / Coreia / Diálise Renal / Diálise Peritoneal Ambulatorial Contínua / Discinesias Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: Ko Revista: Korean Journal of Nephrology Ano de publicação: 2008 Tipo de documento: Article
Texto completo: 1 Índice: WPRIM Assunto principal: Uremia / Gânglios da Base / Glicemia / Encéfalo / Imageamento por Ressonância Magnética / Seguimentos / Coreia / Diálise Renal / Diálise Peritoneal Ambulatorial Contínua / Discinesias Tipo de estudo: Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Humans Idioma: Ko Revista: Korean Journal of Nephrology Ano de publicação: 2008 Tipo de documento: Article