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A rare condition mimicking stroke: Diabetic uremic encephalopathy
Aysel Tekesin1, Yuksel Erdal1, Abdullah Soydan Mahmutoglu2
1Department of Neurology, Istanbul Training and Research Hospital, Istanbul, Turkey.
Ideggyogyaszati Szemle
|October 19, 2018
Summary
Diabetic uremic encephalopathy, a rare condition causing neurological symptoms and basal ganglia lesions, can be reversed with hemodialysis. This case highlights the importance of timely treatment for kidney failure complications.
Area of Science:
- Nephrology
- Neurology
- Radiology
Background:
- Uremic encephalopathy (UE) is a neurological complication of acute or chronic renal failure.
- It presents with reversible neurological symptoms and characteristic neuroimaging findings.
- Bilateral basal ganglia lesions are an uncommon manifestation, particularly in diabetic patients.
Observation:
- A case of diabetic uremic encephalopathy with bilateral basal ganglia lesions is presented.
- The patient exhibited acute onset dysarthria.
- Magnetic resonance imaging confirmed the basal ganglia lesions.
Findings:
- The neurological symptoms, including dysarthria, resolved completely.
- Brain imaging abnormalities also showed complete resolution.
- Hemodialysis was the primary treatment leading to recovery.
Implications:
- This case underscores the reversibility of severe neurological deficits in uremic encephalopathy with prompt treatment.
- Highlights the importance of considering UE in diabetic patients with renal failure and neurological symptoms.
- Suggests that hemodialysis is effective in managing even complex presentations of UE involving basal ganglia lesions.
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