Bilateral thalamic and basal ganglia lesions in an old woman: unusual involvement of uremic encephalopathy
Clinical manifestation of uremic encephalopathy is variable including altered consciousness, confusion, seizure, or movement disorders such as tremor, myoclonus, dyskinesia, or Parkinsonism. Typical radiologic manifestation of uremic encephalopathy is involvement of basal ganglia, cortex or white matter, except thalamus [1, 2]. Recently, Jia et al. reported a case of uremic encephalopathy with metabolic acidosis showing isolated brainstem lesion . However, to the best of our knowledge, a case of uremic encephalopathy involving thalamus in addition to basal ganglia has not been reported.
An 80-year-old woman came to our movement disorder clinic complaining of somnolence and gait disturbance which had started 3 months ago. She had history of hypertension, end-stage renal disease and essential tremor. She had been receiving hemodialysis three times a week for 7 years. Initial vital sign revealed 130/70 mmHg of blood pressure, 72 beats/min of pulse rate, 18...
KeywordsUremic encephalopathy Thalamus Basal ganglia Hemodialysis
This work was supported by the Soonchunhyang University Research Fund (the number is not applicable).
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