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Diffusion‐weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia
Author(s) -
Kim TaikKun,
Seo Sang Il,
Kim Jung Hyuck,
Lee Nam Joon,
Seol Hae Young
Publication year - 2006
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.20932
Subject(s) - uremia , basal ganglia , globus pallidus , magnetic resonance imaging , medicine , effective diffusion coefficient , parkinsonism , diffusion mri , cardiology , pathology , radiology , central nervous system , disease
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. © 2006 Movement Disorder Society