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Acta Neurologica Belgica
Published in: Acta Neurologica Belgica 1/2019

01-03-2019 | Letter to the Editor

Bilateral thalamic and basal ganglia lesions in an old woman: unusual involvement of uremic encephalopathy

Authors: Jeong-Yoon Lee, Kayeong Im, Kyum-Yil Kwon

Published in: Acta Neurologica Belgica | Issue 1/2019

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Excerpt

Clinical manifestation of uremic encephalopathy is variable including altered consciousness, confusion, seizure, or movement disorders such as tremor, myoclonus, dyskinesia, or Parkinsonism. Typical radiologic manifestation of uremic encephalopathy is involvement of basal ganglia, cortex or white matter, except thalamus [1, 2]. Recently, Jia et al. reported a case of uremic encephalopathy with metabolic acidosis showing isolated brainstem lesion [3]. However, to the best of our knowledge, a case of uremic encephalopathy involving thalamus in addition to basal ganglia has not been reported. …
Literature
1.
Wang HC, Cheng SJ (2003) The syndrome of acute bilateral basal ganglia lesions in diabetic uremic patients. J Neurol 250:948–955CrossRefPubMed
2.
Kim DM, Lee IH, Song CJ (2016) Uremic encephalopathy: MR imaging findings and clinical correlation. AJNR Am J Neuroradiol 37:1604–1609CrossRefPubMed
3.
Jia LJ, Qu ZZ, Zhang XQ, Tian YJ, Wang Y (2017) Uremic encephalopathy with isolated brainstem involvement revealed by magnetic resonance image: a case report. BMC Neurol 17:154CrossRefPubMedPubMedCentral
4.
Yoon JE, Kim JS, Park JH, Lee KB, Roh H, Park ST et al (2016) Uremic parkinsonism with atypical phenotypes and radiologic features. Metab Brain Dis 31:481–484CrossRefPubMed
5.
Hegde AN, Mohan S, Lath N, Lim CC (2011) Differential diagnosis for bilateral abnormalities of the basal ganglia and thalamus. Radiographics 31:5–30CrossRefPubMed
6.
Metadata
Title
Bilateral thalamic and basal ganglia lesions in an old woman: unusual involvement of uremic encephalopathy
Authors
Jeong-Yoon Lee
Kayeong Im
Kyum-Yil Kwon
Publication date
01-03-2019
Publisher
Springer International Publishing
Published in
Acta Neurologica Belgica / Issue 1/2019
Print ISSN: 0300-9009
Electronic ISSN: 2240-2993
DOI
https://doi.org/10.1007/s13760-018-1020-y

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