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KMID : 0391519930010020160
Journal of the Korean Child Neurology Society
1993 Volume.1 No. 2 p.160 ~ p.165
Hemolytic Uremic Syndrome associated with Dysfunction of basal ganglia
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Abstract
Neurologic complications occur frequently in the hemolytic-uremic syndrome and commonly consist of seizure, alteration of consciousness, coma and hemiparesis. We experienced a case of hemolytic-uremic syndrome in a 24/12-year-old boy of in whom
right
hemiparesis, seizure and facial palsy developed and brain CT, MRI and EEG were checked. A head computerized tomography performed 3rd day after onset of seizure revealed swelling of both basal ganglia and brain MRI performed 5th day after onset of
seizure revealed swelling of both basal ganglia on TI image and high signal intensity of internal and external capsule and claustrum on T2 weighted image. Brain MRI performed 32th day after onset of seizure showed disappearance of swelling and
edema of
basal ganglia and diffuse brain atrophy on TI image and residual focal high signal intensity with hemosiderin deposit of left basal ganglia on T2 weighted image. Later He was discharged with complete resolution of facial palsy and partial
resolution of
his right hemiparesis.
We report the case with brief review of related literatures.
KEYWORD
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