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종결 Case No. 332 2014-04-01~2014-04-30
출제자 : 이경식 Hit : 342
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Period 2014-04-01~2014-04-30
Diagnosis uremic encephalopathy
Clinical information M/54

C.C>
dysarthria, involuntary dancing-like arm movement

Onset> 3day ago
Discussion MRI findings
- FLAIR
: symmetrially increased signal intensities involving the entire basal ganglia region
: positive “lentiform fork sign” (not pathognomonic but a specific finding)
- DWI/ADC map
: focal diffusion restriction only in the globus pallidus

Pathophysiology
- although no definite pathophysiology has yet been estabilished, metabolic acidosis and long-term hyperglycemia in uremic patients are believed to play an important role as risk factors.
Correct answer

Correct Answer

  • 김이경 성균관대학교 삼성서울병원
  • 윤성종 강동경희대학교병원
  • 김승수 순천향대학교 천안병원
  • 김현수 성균관대학교 삼성서울병원

Semi-Correct Answer

  • 안준형 가천의대 길병원
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