| 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. |
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