Acta Neurologica Belgica

, Volume 119, Issue 1, pp 133–135 | Cite as

Bilateral thalamic and basal ganglia lesions in an old woman: unusual involvement of uremic encephalopathy

  • Jeong-Yoon Lee
  • Kayeong Im
  • Kyum-Yil KwonEmail author
Letter to the Editor


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 [3]. However, to the best of our knowledge, a case of uremic encephalopathy involving thalamus in addition to basal ganglia has not been reported.

Case report

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...


Uremic encephalopathy Thalamus Basal ganglia Hemodialysis 



This work was supported by the Soonchunhyang University Research Fund (the number is not applicable).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study formal consent is not required.


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Copyright information

© Belgian Neurological Society 2018

Authors and Affiliations

  1. 1.Department of NeurologySoonchunhyang University Seoul Hospital, Soonchunhyang University School of MedicineSeoulRepublic of Korea

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