Cerebellar Lesions of Uremic Encephalopathy on MRI in Hemodialyzed Diabetic Patient: A Case Report

다국어 초록 (Multilingual Abstract)

Uremic encephalopathy (UE) is a well-known complication of uremia, but its patho-physiology 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.

참고문헌 (Reference)

1 심성록, "비당뇨병성 말기신부전증 환자에서 양측성 기저핵 병변과 소뇌 병변을 동반한 요독성 뇌병증" 대한신장학회 25 (25): 1061-1066, 2006

2 Wang HC, "The syndrome of acute bilateral basal ganglia lesions in diabetic uremic patients" 250 : 948-955, 2003

3 Prüss H, "Reversible cytotoxic brain edema and facial weakness in uremic encephalopathy" 256 : 1372-1373, 2009

4 Terzi M, "Pure sensory stroke due to bilateral basal ganglion hemorrhage: a case report" 20 : 406-408, 2010

5 "Parkinsonism with basal ganglia lesions in a patient with uremia: Evidence of vasogenic edema" 12 : 93-96, 2006

6 Lim CC, "Magnetic resonance imaging findings in bilateral basal ganglia lesions" 38 : 795-798, 2009

7 Kumar G, "Lentiform Fork sign: a unique MRI picture. Is metabolic acidosis responsible?" 112 : 805-812, 2010

8 Ertl-Wagner B, "Bilateral basal ganglion haemorrhage in diabetic ketoacidotic coma: case report" 41 : 670-673, 1999

9 Yoon CH, "Bilateral basal ganglia and unilateral cortical involvement in a diabetic uremic patient" 111 : 477-479, 2009

10 Lee EJ, "Acute bilateral basal ganglia lesions in diabetic uraemia: diffusion-weighted MRI" 49 : 1009-1013, 2007