Diffusion-weighted magnetic resonance imaging in the syndrome of acute bilateral basal ganglia lesions in diabetic uremia. |
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Authors: | Taik-Kun Kim Sang Il Seo Jung Hyuck Kim Nam Joon Lee Hae Young Seol |
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Affiliation: | Department of Diagnostic Radiology, Korea University, College of Medicine, Seoul, Korea. tkkim@kumc.or.kr |
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Abstract: | In this report, we have presented a diabetic patient with uremia, in which acute Parkinsonism occurred, coupled with acute mental confusion, after a sudden increase in blood urea nitrogen and serum creatinin levels. Diffusion-weighted magnetic resonance imaging revealed a unique cytotoxic-type edema in the bilateral basal ganglia during the acute phase. Signal alterations were shown to regress in accordance with the normalized apparent diffusion coefficient (ADC) values, but irreversible cystic degeneration developed in the globus pallidus, with the very low preceding ADC values. |
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Keywords: | diffusion MRI basal ganglia diabetes mellitus uremia |
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