Diffusion-weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia

Taik Kun Kim, Sang Il Seo, Jung Hyuck Kim, Nam-Joon Lee, Hae Young Seol

    Research output: Contribution to journalArticlepeer-review

    39 Citations (Scopus)

    Abstract

    In this report, we have presented a diabetic patient with uremia, in which acute Parkinsonism occurred, coupled with acute mental confusion, after a sudden increase in blood urea nitrogen and serum creatinin levels. Diffusion-weighted magnetic resonance imaging revealed a unique cytotoxic-type edema in the bilateral basal ganglia during the acute phase. Signal alterations were shown to regress in accordance with the normalized apparent diffusion coefficient (ADC) values, but irreversible cystic degeneration developed in the globus pallidus, with the very low preceding ADC values.

    Original languageEnglish
    Pages (from-to)1267-1270
    Number of pages4
    JournalMovement Disorders
    Volume21
    Issue number8
    DOIs
    Publication statusPublished - 2006 Aug 1

    Keywords

    • Basal ganglia
    • Diabetes mellitus
    • Diffusion MRI
    • Uremia

    ASJC Scopus subject areas

    • Neurology
    • Clinical Neurology

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