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KMID : 1197720220150030258
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대한파킨슨병 및 이상운동질환 학회지
2022 Volume.15 No. 3 p.258 ~ p.263
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Movement Disorders Resulting From Bilateral Basal Ganglia Lesions in End-Stage Kidney Disease: A Systematic Review
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Yap Kah Hui
Baharudin Nurul Husna
Gafor Abdul Halim Abdul
Remli Rabani
Lim Shen-Yang
Zaidi Wan Asyraf Wan
Azmin Shahrul
Mukari Shahizon Azura Mohamed
Khalid Raihanah Abdul
Ibrahim Norlinah Mohamed
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Abstract
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Objective: The basal ganglia (BG) are susceptible to fluctuations in blood urea levels, sometimes resulting in movement disorders. We described patients with end-stage kidney disease (ESKD) presenting with movement disorders associated with bilateral BG lesions on imaging.
Methods: We report four patients and systematically reviewed all published cases of ESKD presenting with movement disorders and bilateral BG lesions (EBSCOhost and Ovid).
Results: Of the 72 patients identified, 55 (76.4%) were on regular dialysis. Parkinsonism was the most common movement disorder (n = 39; 54.2%), followed by chorea (n = 24; 33.3%). Diabetes mellitus (n = 51; 70.8%) and hypertension (n = 16; 22.2%) were the most common risk factors. Forty-three (59.7%) were of Asian ethnicity. Complete clinical resolution was reported in 17 (30.9%) patients, while 38 (69.1%) had incomplete clinical resolution with relapse. Complete radiological resolution occurred in 14 (34.1%) patients.
Conclusion: Movement disorders associated with BG lesions should be recognized as a rare and potentially reversible metabolic movement disorder in patients with ESKD.
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KEYWORD
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Basal ganglia, Chorea, End-stage kidney disease, Magnetic resonance imaging, Parkinsonism
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