Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-29T17:10:18.840Z Has data issue: false hasContentIssue false
  • English
  • Français

Acute Chorea with Bilateral Basal Ganglia Lesions in Diabetic Uremia

Published online by Cambridge University Press:  02 December 2014

Jong-Ho Park ,
Han-Joon Kim  and
Seong-Min Kim
Jong-Ho Park
Affiliation:
Department of Neurology, Myongji Hospital, Kwandong University College of Medicine
Han-Joon Kim
Affiliation:
Department of Neurology, Inje University Ilsan Paik Hospital, Goyang
Seong-Min Kim
Affiliation:
Department of Neurology, Eunhye Geriatric Hospital, Incheon, Republic of Korea
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Uremia is a syndrome of clinical and metabolic abnormalities, which develops in parallel with the deterioration of renal function. Uremic encephalopathy is one of many manifestations of acute or chronic renal failure. It is usually applied to patients with cortical involvement, such as confusion, seizure, tremor, myoclonus, or asterixis. Some cases of acute extrapyramidal movement disorders associated with bilateral basal ganglia lesions, especially parkinsonism have been reported in uremic patients. Here, we report a diabetic uremic patient who developed acute chorea associated with bilateral basal ganglia lesions.

Type
Peer Reviewed Letter
Information
Canadian Journal of Neurological Sciences , Volume 34 , Issue 2 , May 2007 , pp. 248 - 250
Copyright
Copyright © The Canadian Journal of Neurological 2007

References

1. Raskin, NH, Fishman, RA. Neurologic disorders in renal failure. N Eng J Med. 1976; 294:143-8.Google Scholar
2. Hughes, JR. Correlation between EEG and chemical changes in uremia. Electroencephalogr Clin Neurophysiol. 1980; 48:583-94.Google Scholar
3. Raskin, NH. Neurological complications of renal failure. In: Aminoff, MJ, editor. Neurology and general medicine. New York, NY: Churchill Livingstone; 1995. p. 303–19.Google Scholar
4. Wang, HC, Brown, P, Lees, AJ. Acute movement disorders with bilateral basal ganglia lesions in uremia. Mov Disord. 1998; 13(6):952–7.CrossRefGoogle ScholarPubMed
5. Wang, HC, Cheng, SJ. The syndrome of acute bilateral basal ganglia lesions in diabetic uremic patients. J Neurol. 2003; 250:948-55.Google Scholar
6. Wang, HC, Hsu, JL, Shen, YY. Acute bilateral Basal Ganglia lesions in patients with diabetic uremia: An FDG-PET Study. Clin Nucl Med. 2004; 29:475-8.Google Scholar
7. Okada, J, Yoshikawa, K, Matsuo, H, Kanno, K, Oouchi, M. Reversible MRI and CT findings in uremic encephalopathy. Neuroradiology. 1991; 33:524-6.Google Scholar
8. Kim, TK, Seo, SI, Kim, JH, Lee, NJ, Seol, HY. Diffusion-weighted magnetic resonance imaging in the syndrome of acute Bilateral Basal Ganglia lesions in diabetic uremia. Mov Disord. 2006; 21(8):1267–70.Google Scholar
9. 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; 12:93-6.Google Scholar
10. Nakamura, K, Ienaga, K, Nakano, K, Nakai, M, Nakamura, Y, Hasegawa, G, et al. Diabetic renal failure and serum accumulation of the creatinine oxidative metabolites creatol and methylguanidine. Nephron. 1996; 73:520-5.Google Scholar
11. Ritz, E, Stefanski, A, Rambausek, M. The role of the parathyroid glands in the uremic syndrome. Am J Kidney Dis. 1995; 26:808-13.Google Scholar
12. Slatopolsky, E, Martin, K, Hruska, K. Parathyroid hormone metabolism and its potential as a uremic toxin. Am J Physiol. 1980; 239:1-12.Google Scholar
13. Smogorzewski, M, Ni, Z, Massry, SG. Function and metabolism of brain synaptosomes in chronic renal failure. Artif Organs. 1995; 19:795-800.Google Scholar
14. Hung, SC, Hung, SH, Tarng, DC, Yang, WC, Huang, TP. Chorea induced by thiamine deficiency in hemodialysis patients. Am J Kidney Dis. 2001; 37(2):427–30.CrossRefGoogle ScholarPubMed
15. Janavs, JL, Aminoff, MJ. Dystonia and chorea in acquired systemic disorders. J Neurol Neurosurg Psychiatry. 1988; 65:436-45.Google Scholar