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Case report


Rare case of reversible acute symmetrical lesions of the bilateral Basal Ganglia associated with diabetic nephropathy and chronic renal failure.

Parag Suresh MahajanMohamed Amin El EsnawiSheik Akbar HusseinNasser Jassim Al Maslamani
Departments of Radiology, 1Medicine, Al‑Khor Hospital, Hamad Medical Corporation, Doha, Qatar
Date of Submission: 24-Mar-2014, Date of Acceptance: 21-Apr-2014, Date of Web Publication: 27-May-2014.
Corresponding Author:
Corresponding Author

Parag Suresh Mahajan

Department of Radiology, Hamad Medical Corporation, PO Box 3050, Doha, Qatar
E-mail: mdfrcr@gmail.com

Corresponding Author:
Corresponding Author

Parag Suresh Mahajan

Department of Radiology, Hamad Medical Corporation, PO Box 3050, Doha, Qatar
E-mail: mdfrcr@gmail.com

DOI: 10.4103/2156-7514.133264 Facebook Twitter Google Linkedin

ABSTRACT


Reversible acute symmetrical basal ganglial lesion on magnetic resonance imaging and/or computed tomography in cases of diabetic nephropathy and chronic renal failure exhibiting acute onset of movement abnormalities like chorea is a very rare entity. It has characteristic clinical and imaging features. Only 29 cases are described in the literature, including the current one. These cases are predominantly Asian patients from the Far East and only one Asian Indian patient has been described. We report the second Asian Indian case of this condition and describe its various clinical and imaging features. Our aim is to educate the clinicians and radiologists about this condition, so that more such cases can be detected.
Keywords: Acute Chorea, Acute Movement Disorder, Diabetic Nephropathy, Diabetic Uremia, Hemodialysis

Cited in 3 Documents

  1. Jin-Woo Park, Sung-Un Kim, Jeong-Yoon Choi, Jin-Man Jung, Do-Young Kwon and Moon-Ho Park (2015) Reversible parkinsonism with lentiform fork sign as an initial and dominant manifestation of uremic encephalopathy. Journal of the Neurological Sciences 357(1-2):343. doi: 10.1016/j.jns.2015.08.002
  2. Abhijith Rajaram Rao, Pramod Kumar, Venugopalan Gunasekaran and Aparajit Ballav Dey (2019) Reversible chorea secondary to uremia in an older adult. Aging Med :. doi: 10.1002/agm2.12062
  3. Suna Ors, Ozden Kilinc, Fatma Celik Yabul and Atilla Kokurcan (2016) Neurological and imaging findings associated with acute reversible bilateral basal ganglia lesions in a non-diabetic hemodialysis patient. Neurol Sci 37(12):2013. doi: 10.1007/s10072-016-2671-1

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