Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure

Michitaka Maekawa; Takahiro Imaizumi; Taishi Yamakawa; Yasuhiko Ito

doi:10.2169/internalmedicine.56.8328

CASE REPORTS

Acute Renal Failure with Severe Loin Pain and Patchy Renal Vasoconstriction in a Patient without Hypouricemia, Provoked by Epileptic Seizure

Michitaka Maekawa, Takahiro Imaizumi, Taishi Yamakawa, Yasuhiko Ito

著者情報

キーワード: acute kidney injury (AKI), seizure, persistent nephrogram, patchy renal ischemia, acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE), diffusion-weighted imaging (DWI)

ジャーナルオープンアクセス

2017 年 56 巻 15 号 p. 2001-2005

DOI https://doi.org/10.2169/internalmedicine.56.8328

詳細

抄録

A 26-year-old Japanese man without hypouricemia and with 3 previous episodes of seizures concurrent with acute kidney injury (AKI) was admitted due to an epileptic seizure, lower back pain and AKI. His creatinine kinase levels were slightly elevated. Patchy renal ischemia on contrast-enhanced computed tomography and persistent residual contrast medium was observed, consistent with acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise (ALPE). Diffusion-weighted imaging (DWI) demonstrated signal changes in the corresponding area. ALPE should be considered a cause of AKI following seizures. We recommend DWI as an alternative diagnostic modality.

責任著者(Corresponding author)

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