Acta Neurol Taiwan. 2017 Jun 15;26(2):64-67.
- 55y/o, ESRD due to T2DM for several years,
- ER, newly developed resting tremor of bilateral upper limbs for 5 days followed by slowness of movements, small shuffling steps, drooling and mask face
- Brain CT: hypodense change over bilateral basal ganglion and acute ischemic stroke was initially suspected
-
Brain MRI: symmetric swelling and hyperintensity on T2-weighted image over bilateral lentiform nuclei with restricted diffusion on diffusion weighted imaging
(DWI), which indicated demyelinating change - Diagnosis: ODS
- Ropirinole 0.25 mg bid
- Symptoms improved by 2 weeks
- Ropirinole tapered
- Brain MRI: resolution
