Uremic encephalopathy (UE) is a relatively new entity, resulting from a variety of
metabolic alterations associated with acute or chronic renal failure. It has a heterogeneous
presentation, most often an acute or subacute onset of neurological symptoms including
headaches, seizures, confusion, asterixis, ataxia or motor dysfunction [
[1]
]. Magnetic Resonance Imaging (MRI) findings and clinical presentation have led to
the description of two variants of UE: a cortical type, closely related to posterior
reversible encephalopathy syndrome (PRES), and a basal ganglia (BG) type, occurring
most often in diabetics [
1
,
2
]. MRI changes consist of reversible vasogenic edema. We present the case of a patient
with UE and isolated involvement of the centrum semiovale, an extremely rare presentation.
Only two other similar cases are reported in the literature [
2
,
3
], with identical imaging findings, suggestive of a new type of UE.To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: July 16, 2014
Accepted:
July 8,
2014
Received in revised form:
July 4,
2014
Received:
May 15,
2014
Identification
Copyright
© 2014 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
