Generalized Chorea With Acute Bilateral Basal Ganglia Lesions in Diabetic Uremic Patients

J Korean Neurol Assoc > Volume 27(3); 2009 > Article

Journal of the Korean Neurological Association 2009;27(3): 276-278.

당뇨병요독증 환자에서 양측 바닥핵 병변을 보인 전신무도증

구선영, 이수진a 오미선a 김주용a 마효일a 김성균b 김윤중a,c

한림대학교 성심병원 신경과a, 신장내과b, 한림대학교 일송생명과학연구소c

Generalized Chorea With Acute Bilateral Basal Ganglia Lesions in Diabetic Uremic Patients

Sun Young Koo

Department of Neurologya, Department of Nephrologyb, Hallym University College of Medicine, Anyang, Korea Ilsong Institute of Life Sciencec, Hallym University, Anyang, Korea

Abstract

Whilst rare, the acute development of involuntary movements with characteristic lesions of the bilateral basal ganglia in a diabetic uremic patient is a well-demarcated clinical syndrome. Most patients with this syndrome present with either parkinsonism or chorea; however, concurrent chorea with bradykinesia or parkinsonism is rarely reported. We report herein two diabetic uremic patients who developed acute chorea and bradykinesia with characteristic MR images. Key Words: Chorea, Basal ganglia, Uremia