Uremic encephalopathy with atypical magnetic resonance features on diffusion-weighted images

Korean J Radiol. Nov-Dec 2012;13(6):808-11. doi: 10.3348/kjr.2012.13.6.808. Epub 2012 Oct 12.


Uremic encephalopathy is a well-known disease with typical MR findings including bilateral vasogenic or cytotoxic edema at the cerebral cortex or basal ganglia. Involvement of the basal ganglia has been very rarely reported, typically occurring in uremic-diabetic patients. We recently treated a patient who had non-diabetic uremic encephalopathy with an atypical lesion distribution involving the supratentorial white matter, without cortical or basal ganglia involvement. To the best of our knowledge, this is only the second reported case of non-diabetic uremic encephalopathy with atypical MR findings.

Keywords: Diffusion-weighted imaging; Magnetic resonance imaging; Uremic encephalopathy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Diseases, Metabolic / diagnosis*
  • Diffusion Magnetic Resonance Imaging*
  • Humans
  • Male
  • Uremia / complications*