Document Detail


Portal systemic encephalopathy presenting with dressing and constructional apraxia.
MedLine Citation:
PMID:  10830187     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report a case with portal systemic encephalopathy who presented with dressing and constructional apraxia and subtle weakness of the left hand. We initially suspected a cerebrovascular attack in the right cerebral hemisphere, but brain T1-weighted magnetic resonance (MR) imaging revealed high intensity in the basal ganglia and hyperammonemia was detected. We performed abdominal MR angiography, which visualized an intrahepatic portal systemic shunt. Cerebral blood flow, measured by xenon-enhanced computed tomography, was decreased in the bilateral, but more dominantly right-sided, parietal watershed regions. We speculate that these boundary territories might be susceptible to damage by toxic metabolites of hepatic encephalopathy.
Authors:
T Kanda; S Nogawa; K Muramatsu; A Koto; Y Fukuuchi
Related Documents :
21182127 - Correlation of the apparent diffusion coefficient value and dynamic magnetic resonance ...
21456907 - Osteopetrosis with chiari i malformation: presentation and surgical management.
20633757 - Posterior reversible encephalopathy syndrome in chronic alcoholism with acute psychiatr...
18833947 - Magnetic resonance imaging findings in histologically confirmed pug dog encephalitis.
18184847 - Nonhelical acquisition ct angiogram after aneurysmal clipping: in vitro testing shows d...
15862197 - Merosin-negative congenital muscular dystrophy: magnetic resonance spectroscopy findings.
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  39     ISSN:  0918-2918     ISO Abbreviation:  Intern. Med.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-09-18     Completed Date:  2000-09-18     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  419-23     Citation Subset:  IM    
Affiliation:
Department of Neurology, Keio University, Tokyo.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Aged
Apraxias / diagnosis,  etiology*
Female
Hepatic Encephalopathy / diagnosis*,  physiopathology,  psychology
Humans
Magnetic Resonance Angiography
Magnetic Resonance Imaging

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Tumor-like splenic extramedullary hematopoiesis in a patient with myelofibrosis.
Next Document:  Hypercoagulopathy with piperacillin administration in osteomyelitis.