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Suzuki R, Sato M, Ogura M, Murofushi Y, Abe Y, Kamei K. Unilateral motor weakness with kidney failure: Answers. Pediatr Nephrol 2021; 36:4131-4134. [PMID: 34499255 DOI: 10.1007/s00467-021-05187-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 06/03/2021] [Indexed: 11/29/2022]
Affiliation(s)
- Ryutaro Suzuki
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan
| | - Mai Sato
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan
| | - Masao Ogura
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan
| | - Yuka Murofushi
- Division of Neurology, National Center for Child Health and Development, Tokyo, Japan
| | - Yuichi Abe
- Division of Neurology, National Center for Child Health and Development, Tokyo, Japan
| | - Koichi Kamei
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
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Yoon JE, Kim JS, Park JH, Lee KB, Roh H, Park ST, Cho JW, Ahn MY. Uremic parkinsonism with atypical phenotypes and radiologic features. Metab Brain Dis 2016; 31:481-4. [PMID: 26631408 DOI: 10.1007/s11011-015-9774-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Accepted: 11/30/2015] [Indexed: 10/22/2022]
Abstract
Uremic encephalopathy with bilateral basal ganglia lesions has been reported as an acute neurometabolic disease which shows reversible clinical course and brain imaging features. The exact nature and pathophysiology have not been well established. We encountered two patients who showed a relapsing and aggravating course and an atypical phenotype including parkinsonism with paroxysmal dystonic head tremor and acute onset monoparesis of the lower extremity. They also showed unusual radiological findings which revealed combined lesions in the basal ganglia and cortex, persistent hemorrhagic transformation, and focal ischemic lesion in the internal capsule. Herein, we present the unusual phenomenology with atypical radiologic findings and suggest the possible multifactorial pathogenesis of uremic encephalopathy.
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Affiliation(s)
- Jee-Eun Yoon
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul, 140-887, Republic of Korea
| | - Ji Sun Kim
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul, 140-887, Republic of Korea.
| | - Jeong-Ho Park
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Bucheon Hospital, Seoul, South Korea
| | - Kyung-Bok Lee
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul, 140-887, Republic of Korea
| | - Hakjae Roh
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul, 140-887, Republic of Korea
| | - Sung Tae Park
- Department of Radiology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, Seoul, South Korea
| | - Jin Whan Cho
- Department of Neurology, Sungkyunkwan University School of Medicine, Seoul,, South Korea
- Neuroscience Center, Samsung Medical Center, Seoul, South Korea
| | - Moo-young Ahn
- Department of Neurology, Soonchunhyang University School of Medicine, Soonchunhyang University Seoul Hospital, 59, Daesagwan-ro, Yongsan-gu, Seoul, 140-887, Republic of Korea.
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