Diffusion-weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia
Autor: | Jung Hyuck Kim, Nam Joon Lee, Hae Young Seol, Sang Il Seo, Taik-Kun Kim |
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Rok vydání: | 2006 |
Předmět: |
Pathology
medicine.medical_specialty Functional Laterality Basal Ganglia Diseases Internal medicine Basal ganglia medicine Effective diffusion coefficient Humans Diabetic Nephropathies Blood urea nitrogen medicine.diagnostic_test business.industry Parkinsonism Brain Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Uremia Globus pallidus Endocrinology Neurology Kidney Failure Chronic Female Neurology (clinical) business Diffusion MRI |
Zdroj: | Movement disorders : official journal of the Movement Disorder Society. 21(8) |
ISSN: | 0885-3185 |
Popis: | 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. |
Databáze: | OpenAIRE |
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