Journal List > J Korean Soc Radiol > v.66(1) > 1087137

Kil, Lee, Cha, Cho, and Kang: Cerebellar Lesions of Uremic Encephalopathy on MRI in Hemodialyzed Diabetic Patient: A Case Report

Abstract

Uremic encephalopathy (UE) is a well-known complication of uremia, but its pathophysiology remains unknown. It is widely reported that in UE, the bilateral basal ganglia (BG) shows hyperintensities on T2/fluid attenuated inversion recovery magnetic resonance imaging (MRI), but cerebellar lesions are extremely rare, with to the best of our knowledge, only one case reported to date. We describe the findings from computed tomography and MRI for typical BG and cerebellar vermis lesions.

References

1. Lee EJ, Park JH, Ihn Y, Kim YJ, Lee SK, Park CS. Acute bilateral basal ganglia lesions in diabetic uraemia: diffusion-weighted MRI. Neuroradiology. 2007. 49:1009–1013.
2. Lee PH, Shin DH, Kim JW, Song YS, Kim HS. Parkinsonism with basal ganglia lesions in a patient with uremia: Evidence of vasogenic edema. Parkinsonism Relat Disord. 2006. 12:93–96.
3. Sim SR, Lee SH, Jahng JH, Lim JY, Choi YK, Bae KS, et al. Uremic encephalopathy associated with bilateral basal ganglia and cerebellar lesion in a non-diabetic hemodialysis patient. Korean J Nephrol. 2006. 25:1061–1066.
4. Prüss H, Siebert E, Masuhr F. Reversible cytotoxic brain edema and facial weakness in uremic encephalopathy. J Neurol. 2009. 256:1372–1373.
5. Wang HC, Cheng SJ. The syndrome of acute bilateral basal ganglia lesions in diabetic uremic patients. J Neurol. 2003. 250:948–955.
6. 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.
7. Lim CC. Magnetic resonance imaging findings in bilateral basal ganglia lesions. Ann Acad Med Singapore. 2009. 38:795–798.
8. Kumar G, Goyal MK. Lentiform Fork sign: a unique MRI picture. Is metabolic acidosis responsible? Clin Neurol Neurosurg. 2010. 112:805–812.
9. Ertl-Wagner B, Jansen O, Schwab S, Sartor K. Bilateral basal ganglion haemorrhage in diabetic ketoacidotic coma: case report. Neuroradiology. 1999. 41:670–673.
10. Terzi M, Akkaya O, Onar M. Pure sensory stroke due to bilateral basal ganglion hemorrhage: a case report. Turk Neurosurg. 2010. 20:406–408.
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