Clinical Neuroscience

A rare condition mimicking stroke: Diabetic uremic encephalopathy

TEKESIN Aysel1, ERDAL Yuksel1, MAHMUTOGLU Soydan Abdullah2, HAKYEMEZ Ahmet1, EMRE Ufuk1

SEPTEMBER 30, 2018

Clinical Neuroscience - 2018;71(09-10)

DOI: https://doi.org/10.18071/isz.71.0358

Uremic encephalopathy (UE) is a metabolic disorder associated with acute or chronic renal failure. It is characterized by the acute or subacute onset of reversible neurological symptoms and specific imaging findings. It is uncommon for uremic encephalopathy to be associated with acute bilateral lesions of the basal ganglia in diabetic uremic patients, and this can be seen most often in Asian patients. Here, we report a patient with diabetic uremic encephalopathy and bilateral basal ganglia lesions who developed acute onset dysarthria. The clinical and magnetic resonance brain imaging findings resolved after hemodialysis treatment.

AFFILIATIONS

  1. Department of Neurology, Istanbul Training and Research Hospital, Istanbul, Turkey
  2. Department of Radiology, Istanbul Training and Research Hospital, Istanbul, Turkey

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