A Preliminary Study Revealing a New Association in Patients Undergoing Maintenance Hemodialysis: Manganism Symptoms and T1 Hyperintense Changes in the Basal Ganglia
C.J. da Silvaa,c,
A.J. da Rochaa,c,
S. Jeronymob,
M.F. Mendesd,
F.T. Milanie,
A.C.M. Maia, Jra,
F.T. Bragaa,c,
Y.A.S. Sense and
L.A. Miorine
a Sections of Radiology, Laboratório Fleury-Centro de Medicina Diagnóstica, São Paulo-SP, Brazil
b Biochemistry, Laboratório Fleury-Centro de Medicina Diagnóstica, São Paulo-SP, Brazil
c Sections of Radiology, Santa Casa de Misericórdia de São Paulo, São Paulo-SP, Brazil
d Neurology, Santa Casa de Misericórdia de São Paulo, São Paulo-SP, Brazil
e Nephrology, Santa Casa de Misericórdia de São Paulo, São Paulo-SP, Brazil

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Fig 1. Patient 1. A, Axial T1-weighted image shows bilateral and symmetric hyperintensities within the globus pallidus (arrows). B, Axial FLAIR imaging finding is normal. C, CT image shows faint bilateral foci of calcification in the medial aspect of the globus pallidus (arrows), with precise correspondence on the T2* (D) sequence (arrows).
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Fig 2. Patient 8. Axial T1-weighted (A) and FLAIR (B) images do not show any signal-intensity abnormality.
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