Hemiparesis or reflex asymmetry which alternates from side to side

Q: Hemiparesis or reflex asymmetry which alternates from side to side is usually the characteristic of which encephalopathy? 

A) Uremic encephalopathy
B) Wernicke's encephalopathy
C) Hepatic encephalopathy
D) post stroke encephalopathy
E) Post-transplant encephalopathy


Answer: A

Although not commonly present, hemiparesis or reflex asymmetry may occur in uremic encephalopathy. It quickly gets reversed with hemodialysis. If occurs, it tends to alternate from side to side.

#Nephrology
#Neurology


Reference:

Chen R, Young GB. Metabolic Encephalopathies. In: Baillere's Clinical Neurology, Bolton CF, Young GB (Eds), Balliere Tindall, London p.577.