Acute Parkinsonism in Uremia and its Prognosis

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Abstract

Basal ganglia lesions in uremic-diabetic patients may present with a favorable outcome along with a complicated clinical course and poor prognosis. In this report, we present a diabetic patient with uremia in whom acute Parkinsonism developed, associated with increase in blood urea nitrogen and serum creatinine levels. T2, flair, and diffusion-weighted scans of cerebral magnetic resonance imaging showed hyperintensity. Ten days after this clinical presentation, she developed acute abdominal pain and mesenteric artery occlusion. Surgical operation was performed to remove gangrenous intestine, but she died 5 days after the operation.

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