Acute movement disorders with bilateral basal ganglia lesions in uremia
Identifieur interne : 002067 ( Istex/Curation ); précédent : 002066; suivant : 002068Acute movement disorders with bilateral basal ganglia lesions in uremia
Auteurs : Wang [Taïwan] ; Peter Brown [Royaume-Uni] ; Andrew J. Lees [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-11.
English descriptors
- KwdEn :
Abstract
Acute and subacute extrapyramidal movement disorders are rarely reported in uremic patients. We report three such cases with basal ganglia lesions. All three had advanced renal failure with high serum creatinine levels. One of the patients had a history of ischemic heart disease and acute pulmonary edema with hypoxemia. Another patient had experienced arterial hypotension during previous hemodialysis. The third had prominent metabolic acidosis. One of the patients developed generalized dyskinesias, whereas the other two developed gait disturbances. Neuroimaging studies in all three cases showed bilateral changes in the basal ganglia. The natural history was self‐limiting with gradual improvement. Diminution of the basal ganglia lesions was demonstrated on follow‐up imaging in two of the three cases. We conclude that acute or subacute movement disorders with bilateral basal ganglia lesions may occur in uremia. Hypoperfusion with global brain ischemia and selective vulnerability of the basal ganglia to uremic toxins may account for these lesions.
Url:
DOI: 10.1002/mds.870130615
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: Pour aller vers cette notice dans l'étape Curation :002067
Links to Exploration step
ISTEX:65A53E80CAD6B3F87E21FC29685852F8114EF920Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Acute movement disorders with bilateral basal ganglia lesions in uremia</title><author><name sortKey="Wang" sort="Wang" uniqKey="Wang" last="Wang">Wang</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Shin Kong Wu Ho‐Su Memorial Hospital, Taipei, Taiwan</mods:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Shin Kong Wu Ho‐Su Memorial Hospital, Taipei</wicri:regionArea></affiliation></author><author><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name><affiliation wicri:level="2"><mods:affiliation>The National Hospital for Neurology and Neurosurgery, and MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</mods:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>The National Hospital for Neurology and Neurosurgery, and MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London</wicri:cityArea></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew J. Lees</name><affiliation wicri:level="2"><mods:affiliation>The National Hospital for Neurology and Neurosurgery, Institute of Neurology, Queen Square, London, England</mods:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>The National Hospital for Neurology and Neurosurgery, Institute of Neurology, Queen Square, London</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:65A53E80CAD6B3F87E21FC29685852F8114EF920</idno><date when="1998" year="1998">1998</date><idno type="doi">10.1002/mds.870130615</idno><idno type="url">https://api.istex.fr/document/65A53E80CAD6B3F87E21FC29685852F8114EF920/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002067</idno><idno type="wicri:Area/Istex/Curation">002067</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Acute movement disorders with bilateral basal ganglia lesions in uremia</title><author><name sortKey="Wang" sort="Wang" uniqKey="Wang" last="Wang">Wang</name><affiliation wicri:level="1"><mods:affiliation>Department of Neurology, Shin Kong Wu Ho‐Su Memorial Hospital, Taipei, Taiwan</mods:affiliation><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Shin Kong Wu Ho‐Su Memorial Hospital, Taipei</wicri:regionArea></affiliation></author><author><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name><affiliation wicri:level="2"><mods:affiliation>The National Hospital for Neurology and Neurosurgery, and MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London, England</mods:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>The National Hospital for Neurology and Neurosurgery, and MRC Human Movement and Balance Unit, Institute of Neurology, Queen Square, London</wicri:cityArea></affiliation></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew J. Lees</name><affiliation wicri:level="2"><mods:affiliation>The National Hospital for Neurology and Neurosurgery, Institute of Neurology, Queen Square, London, England</mods:affiliation><country>Royaume-Uni</country><placeName><region type="country">Angleterre</region></placeName><wicri:cityArea>The National Hospital for Neurology and Neurosurgery, Institute of Neurology, Queen Square, London</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="1998-11">1998-11</date><biblScope unit="vol">13</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="952">952</biblScope><biblScope unit="page" to="957">957</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">65A53E80CAD6B3F87E21FC29685852F8114EF920</idno><idno type="DOI">10.1002/mds.870130615</idno><idno type="ArticleID">MDS870130615</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Basal ganglia</term><term>Movement disorder</term><term>Uremia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Acute and subacute extrapyramidal movement disorders are rarely reported in uremic patients. We report three such cases with basal ganglia lesions. All three had advanced renal failure with high serum creatinine levels. One of the patients had a history of ischemic heart disease and acute pulmonary edema with hypoxemia. Another patient had experienced arterial hypotension during previous hemodialysis. The third had prominent metabolic acidosis. One of the patients developed generalized dyskinesias, whereas the other two developed gait disturbances. Neuroimaging studies in all three cases showed bilateral changes in the basal ganglia. The natural history was self‐limiting with gradual improvement. Diminution of the basal ganglia lesions was demonstrated on follow‐up imaging in two of the three cases. We conclude that acute or subacute movement disorders with bilateral basal ganglia lesions may occur in uremia. Hypoperfusion with global brain ischemia and selective vulnerability of the basal ganglia to uremic toxins may account for these lesions.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Istex/Curation
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002067 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Curation/biblio.hfd -nk 002067 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Istex
|étape= Curation
|type= RBID
|clé= ISTEX:65A53E80CAD6B3F87E21FC29685852F8114EF920
|texte= Acute movement disorders with bilateral basal ganglia lesions in uremia
}}
| This area was generated with Dilib version V0.6.23. |  |