TY - JOUR AU - Saka, Yosuke AB - doi:10.1111/ncn3.12089 PICTURES IN NEUROLOGY Bilateral internal capsule lesions in Acknowledgment uremic encephalopathy The authors declare no conflict of interest. A 58-year-old man with immunoglobulin A nephropathy was evaluated for impaired consciousness. A neurological examination revealed disorientation and myoclonus in the References limbs. Blood test showed metabolic acidosis (pH 7.005, 3 1 Albayram S, Ozer H, Gokdemir S et al. Reversible reduction of HCO 6.0 mmol/L), elevated blood urea nitrogen (150 mg/ apparent diffusion coefficient values in bilateral internal capsules dL), elevated creatinine (19.4 mg/dL) and normal blood in transient hypoglycemia-induced hemiparesis. Am. J. sugar levels. Magnetic resonance imaging of the brain Neuroradiol. 2006; 27: 1760–2. showed hyperintense lesions (Fig. 1). The patient completely 2 Kumar G, Goyal MK. Lentiform Fork sign: a unique MRI recovered after hemodialysis. The cause of impaired con- picture. Is metabolic acidosis responsible? Clin. Neurol. sciousness was diagnosed as uremic encephalopathy. Fol- Neurosurg. 2010; 112: 805–12. 3 Kim DM, Lee IH, Song CJ. Uremic encephalopathy: MR low-up magnetic resonance imaging after recovery showed imaging findings and clinical correlation. AJNR Am. J. that the bilateral internal capsule and left basal ganglia Neuroradiol. 2016 Apr 28. [Epub ahead of print]. lesions remained. Bilateral internal capsule lesions have TI - Bilateral internal capsule lesions in uremic encephalopathy JF - Neurology and Clinical Neuroscience DO - 10.1111/ncn3.12089 DA - 2016-11-01 UR - https://www.deepdyve.com/lp/wiley/bilateral-internal-capsule-lesions-in-uremic-encephalopathy-Rg0oxYhVaK SP - 243 EP - 243 VL - 4 IS - 6 DP - DeepDyve ER -