Acute movement disorders with bilateral basal ganglia lesions in uremia
Identifieur interne : 005085 ( Main/Exploration ); précédent : 005084; suivant : 005086Acute movement disorders with bilateral basal ganglia lesions in uremia
Auteurs : Wang [Taïwan] ; Peter Brown [Royaume-Uni] ; Andrew Lees (neurologue) [Royaume-Uni]Source :
- Movement Disorders [ 0885-3185 ] ; 1998-11.
English descriptors
- KwdEn :
- Acute Disease, Anoxia (complications), Basal Ganglia Diseases (etiology), Basal Ganglia Diseases (therapy), Basal ganglia, Diabetic Nephropathies (complications), Diabetic Nephropathies (therapy), Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Movement Disorders (etiology), Movement Disorders (therapy), Movement disorder, Renal Dialysis, Uremia, Uremia (complications).
- MESH :
- complications : Anoxia, Diabetic Nephropathies, Uremia.
- etiology : Basal Ganglia Diseases, Movement Disorders.
- therapy : Basal Ganglia Diseases, Diabetic Nephropathies, Movement Disorders.
- Acute Disease, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Renal Dialysis.
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
Affiliations:
- Royaume-Uni, Taïwan
- Angleterre, Grand Londres
- Londres
- National Hospital for Neurology and Neurosurgery
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 002067
- to stream Istex, to step Curation: 002067
- to stream Istex, to step Checkpoint: 003821
- to stream PubMed, to step Corpus: 004305
- to stream PubMed, to step Curation: 004305
- to stream PubMed, to step Checkpoint: 004511
- to stream Ncbi, to step Merge: 005078
- to stream Ncbi, to step Curation: 005078
- to stream Ncbi, to step Checkpoint: 005078
- to stream Main, to step Merge: 007F98
- to stream Main, to step Curation: 005085
Le 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></author><author><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name></author><author><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name><affiliation><country>Royaume-Uni</country><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></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><idno type="wicri:Area/Istex/Checkpoint">003821</idno><idno type="wicri:doubleKey">0885-3185:1998:Wang:acute:movement:disorders</idno><idno type="wicri:source">PubMed</idno><idno type="RBID">pubmed:9827621</idno><idno type="wicri:Area/PubMed/Corpus">004305</idno><idno type="wicri:Area/PubMed/Curation">004305</idno><idno type="wicri:Area/PubMed/Checkpoint">004511</idno><idno type="wicri:Area/Ncbi/Merge">005078</idno><idno type="wicri:Area/Ncbi/Curation">005078</idno><idno type="wicri:Area/Ncbi/Checkpoint">005078</idno><idno type="wicri:doubleKey">0885-3185:1998:Wang H:acute:movement:disorders</idno><idno type="wicri:Area/Main/Merge">007F98</idno><idno type="wicri:Area/Main/Curation">005085</idno><idno type="wicri:Area/Main/Exploration">005085</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"><country xml:lang="fr">Taïwan</country><wicri:regionArea>Department of Neurology, Shin Kong Wu Ho‐Su Memorial Hospital, Taipei</wicri:regionArea><wicri:noRegion>Taipei</wicri:noRegion></affiliation></author><author><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name><affiliation wicri:level="2"><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 Lees (neurologue)</name><affiliation wicri:level="2"><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><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName><orgName>National Hospital for Neurology and Neurosurgery</orgName></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>Acute Disease</term><term>Anoxia (complications)</term><term>Basal Ganglia Diseases (etiology)</term><term>Basal Ganglia Diseases (therapy)</term><term>Basal ganglia</term><term>Diabetic Nephropathies (complications)</term><term>Diabetic Nephropathies (therapy)</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Movement Disorders (etiology)</term><term>Movement Disorders (therapy)</term><term>Movement disorder</term><term>Renal Dialysis</term><term>Uremia</term><term>Uremia (complications)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Anoxia</term><term>Diabetic Nephropathies</term><term>Uremia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Basal Ganglia Diseases</term><term>Movement Disorders</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Basal Ganglia Diseases</term><term>Diabetic Nephropathies</term><term>Movement Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Acute Disease</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term><term>Middle Aged</term><term>Renal Dialysis</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><affiliations><list><country><li>Royaume-Uni</li><li>Taïwan</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement><orgName><li>National Hospital for Neurology and Neurosurgery</li></orgName></list><tree><country name="Taïwan"><noRegion><name sortKey="Wang" sort="Wang" uniqKey="Wang" last="Wang">Wang</name></noRegion></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Brown, Peter" sort="Brown, Peter" uniqKey="Brown P" first="Peter" last="Brown">Peter Brown</name></region><name sortKey="Lees, Andrew J" sort="Lees, Andrew J" uniqKey="Lees A" first="Andrew J." last="Lees">Andrew Lees (neurologue)</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 005085 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 005085 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Santé
|area= MovDisordV3
|flux= Main
|étape= Exploration
|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. |  |