Uremia presented as acute cranial neuropathy

  • Wook Hur
  • Ji Yeon Chung
  • Pahn Kyu Choi
  • Hyun Goo KangEmail author
Letter to the Editor

Dear Sir,

A 61-year-old patient who had been receiving hemodialysis three times per week due to end-stage renal disease (ESRD) for 10 years visited a nearby hospital due to upper respiratory tract infection symptoms 4 days before visiting our hospital. The patient was diagnosed with pneumonia and started treatment with 3rd-generation cephalosporin administration while hemodialysis was discontinued. On the third day of antibiotic treatment, dysphagia and dysarthria occurred, and consequently, the patient was transferred to our hospital.

In the neurologic examination, the patient was not able to swallow and drooled because of partial lower facial diplegia and paralysis of the soft palate and pharynx (Fig.  1a). All other neurologic examinations were normal, except for decreased bilateral ankle jerk. Left vocal cord palsy was confirmed by laryngoscopy (Fig. 1b). Abnormal findings were not observed on contrast-enhanced brain magnetic resonance imaging (MRI) and a diffusion-weighted image....



This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (Ministry of Science and ICT, NRF-2017R1C1B5017293).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Fondazione Società Italiana di Neurologia 2019

Authors and Affiliations

  1. 1.Department of NeurologyChosun University HospitalGwang-juSouth Korea
  2. 2.Department of NeurologyChonbuk National University Medical SchoolJeonjuSouth Korea
  3. 3.Department of NeurologyResearch Institute of Clinical Medicine of Chonbuk National University - Biomedical Research Institute of Chonbuk National University HospitalJeonjuSouth Korea

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