Korean Journal of Radiology

  • 제13권6호
  • /
  • Pages.808-811
  • /
  • 2012
  • /
  • 1229-6929(pISSN)
  • /
  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

Uremic Encephalopathy with Atypical Magnetic Resonance Features on Diffusion-Weighted Images

  • Kang, Eugene (Department of Radiology, Wonkwang University School of Medicine & Hospital) ;
  • Jeon, Se Jeong (Department of Radiology, Wonkwang University School of Medicine & Hospital) ;
  • Choi, See-Sung (Department of Radiology, Wonkwang University School of Medicine & Hospital)
  • 발행 : 2012.12.01
⟨ 이전 논문 다음 논문 ⟩

초록

Uremic encephalopathy is a well-known disease with typical MR findings including bilateral vasogenic or cytotoxic edema at the cerebral cortex or basal ganglia. Involvement of the basal ganglia has been very rarely reported, typically occurring in uremic-diabetic patients. We recently treated a patient who had non-diabetic uremic encephalopathy with an atypical lesion distribution involving the supratentorial white matter, without cortical or basal ganglia involvement. To the best of our knowledge, this is only the second reported case of non-diabetic uremic encephalopathy with atypical MR findings.

키워드

참고문헌

  1. Wang HC, Cheng SJ. The syndrome of acute bilateral basal ganglia lesions in diabetic uremic patients. J Neurol 2003;250:948-955 https://doi.org/10.1007/s00415-003-1122-0
  2. Kim TK, Seo SI, Kim JH, Lee NJ, Seol HY. Diffusion-weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia. Mov Disord 2006;21:1267-1270 https://doi.org/10.1002/mds.20932
  3. Raskin NH. Neurological complications of renal failure. In: Aminoff MJ, ed. Neurology and general medicine. New York: Churchill Livingstone, 1995:303-319
  4. Raskin NH, Fishman RA. Neurologic disorders in renal failure (first of two parts). N Engl J Med 1976;294:143-148 https://doi.org/10.1056/NEJM197601152940306
  5. Wang HC, Brown P, Lees AJ. Acute movement disorders with bilateral basal ganglia lesions in uremia. Mov Disord 1998;13:952-957 https://doi.org/10.1002/mds.870130615
  6. Pruss H, Siebert E, Masuhr F. Reversible cytotoxic brain edema and facial weakness in uremic encephalopathy. J Neurol 2009;256:1372-1373 https://doi.org/10.1007/s00415-009-5125-3
  7. Yoon CH, Seok JI, Lee DK, An GS. Bilateral basal ganglia and unilateral cortical involvement in a diabetic uremic patient. Clin Neurol Neurosurg 2009;111:477-479 https://doi.org/10.1016/j.clineuro.2009.01.007
  8. Okada J, Yoshikawa K, Matsuo H, Kanno K, Oouchi M. Reversible MRI and CT findings in uremic encephalopathy. Neuroradiology 1991;33:524-526 https://doi.org/10.1007/BF00588046
  9. Akmal M, Goldstein DA, Multani S, Massry SG. Role of uremia, brain calcium, and parathyroid hormone on changes in electroencephalogram in chronic renal failure. Am J Physiol 1984;246(5 Pt 2):F575-F579
  10. Biasioli S, D'Andrea G, Chiaramonte S, Fabris A, Feriani M, Ronco C, et al. The role of neurotransmitters in the genesis of uremic encephalopathy. Int J Artif Organs 1984;7:101-106

피인용 문헌

  1. Severe Posterior Reversible Encephalopathy in Pheochromocytoma: Importance of Susceptibility-Weighted MRI vol.14, pp.5, 2012, https://doi.org/10.3348/kjr.2013.14.5.849
  2. Neuroimaging Correlates of Acute Encephalopathy vol.30, pp.5, 2012, https://doi.org/10.1097/wnp.0b013e3182a73be3
  3. What to see when you are looking at confusion: a review of the neuroimaging of acute encephalopathy vol.86, pp.4, 2012, https://doi.org/10.1136/jnnp-2014-308216
  4. Uremic parkinsonism with atypical phenotypes and radiologic features vol.31, pp.2, 2016, https://doi.org/10.1007/s11011-015-9774-x
  5. Uremic Encephalopathy: MR Imaging Findings and Clinical Correlation vol.37, pp.9, 2016, https://doi.org/10.3174/ajnr.a4776
  6. A Rare Case of Viagra Induced Toxic Encephalopathy vol.20, pp.3, 2012, https://doi.org/10.13104/imri.2016.20.3.196
  7. Reply: vol.38, pp.3, 2012, https://doi.org/10.3174/ajnr.a5077
  8. Uremic encephalopathy with isolated brainstem involvement revealed by magnetic resonance image: a case report vol.17, pp.None, 2012, https://doi.org/10.1186/s12883-017-0936-9
  9. Toxins in Brain! Magnetic Resonance (MR) Imaging of Toxic Leukoencephalopathy – A Pictorial Essay vol.82, pp.None, 2017, https://doi.org/10.12659/pjr.901791
  10. Advances in dialysis encephalopathy research: a review vol.39, pp.7, 2012, https://doi.org/10.1007/s10072-018-3426-y
  11. Hypoxic, Toxic, and Acquired Metabolic Encephalopathies at the Emergency Room: The Role of Magnetic Resonance Imaging vol.39, pp.5, 2018, https://doi.org/10.1053/j.sult.2018.01.005
  12. Toxische Veränderungen des zentralen Nervensystems vol.58, pp.12, 2018, https://doi.org/10.1007/s00117-018-0467-4
  13. Syndrome of uremic encephalopathy and bilateral basal ganglia lesions in non-diabetic hemodialysis patient: a case report vol.19, pp.1, 2012, https://doi.org/10.1186/s12882-018-1174-0
  14. Acute Toxic Leukoencephalopathy: Etiologies, Imaging Findings, and Outcomes in 101 Patients vol.40, pp.2, 2019, https://doi.org/10.3174/ajnr.a5947
  15. The quest for high spatial resolution diffusion‐weighted imaging of the human brain in vivo vol.32, pp.4, 2012, https://doi.org/10.1002/nbm.4056
  16. Atypical Neuroimaging in a Patient with Uremic Encephalopathy Showing the Bilateral Thalamus and Midbrain Lesions vol.38, pp.2, 2020, https://doi.org/10.17340/jkna.2020.2.13
  17. Acute Acquired Metabolic Encephalopathy Based on Diffusion MRI vol.22, pp.None, 2021, https://doi.org/10.3348/kjr.2019.0303
  18. Case report: MRI findings of acute uremic encephalopathy in a 1-year-old boy vol.7, pp.5, 2012, https://doi.org/10.1259/bjrcr.20210057