CC BY-NC-ND 4.0 · J Neurosci Rural Pract 2017; 08(S 01): S156-S158
DOI: 10.4103/jnrp.jnrp_158_17
Letters to the Editor
Journal of Neurosciences in Rural Practice

Acute Generalized Chorea as Presenting Manifestation of Uremic Encephalopathy

Rohan R. Mahale
Department of Neurology, MS Ramaiah Medical College and Hospital, Bengaluru - 560 054, Karnataka, India
,
Kiran Buddaraju
Department of Neurology, MS Ramaiah Medical College and Hospital, Bengaluru - 560 054, Karnataka, India
,
M. S. Gireesh
1  Department of Nephrology, MS Ramaiah Medical College and Hospital, Bengaluru - 560 054, Karnataka, India
,
Purushottam Acharya
Department of Neurology, MS Ramaiah Medical College and Hospital, Bengaluru - 560 054, Karnataka, India
,
Rangasetty Srinivasa
Department of Neurology, MS Ramaiah Medical College and Hospital, Bengaluru - 560 054, Karnataka, India
› Author Affiliations
Further Information

Publication History

Publication Date:
03 September 2019 (online)

Sir,

Renal dysfunction results in a clinical metabolic condition known as uremia. It causes altered mental status due to involvement of cerebral cortex termed as uremic encephalopathy. Acute hyperkinetic or hypokinetic extrapyramidal disorder in patients with uremia is a very rare syndrome. It was first described by Wang et al. due to bilateral basal ganglia lesions in uremia.[[1]] Hereby, we report an elderly patient with diabetic nephropathy who presented with acute-onset generalized chorea. Brain magnetic resonance imaging (MRI) showed bilateral basal ganglia lesions. Choreiform movements got ameliorated with hemodialysis.