Choreoathetosis in porto-systemic encephalopathy.

Choreoathetosis in porto-systemic encephalopathy.

Colectomy for Porto-Systemic Encephalopathy: Is it Still Topical?

Hepatic encephalopathy (HE) is a common long term complication of porto-systemic shunt. We report herein the case of a 59-year-old man with Child-Pugh A cirrhosis treated successfully 9 years earlier with distal splenorenal shunt for uncontrolled variceal bleeding. In the last year, he developed a severe and persistent hepatic encephalopathy secondary to the shunt, which was resistant to medica...

[Hepatic encephalopathy secondary to porto-systemic shunt satisfactorily treated with interventionist radiology].

Hepatic encephalopathy is a reversible state of altered cognition that may occur in patients with acute or chronic liver disease or porto-systemic shunt, and in which known neurological or psychiatric signs may develop. Nitrogenated substances from intestinal digestion reach the brain without being cleared by their passage through the liver due to the presence of porto-systemic shunt. We report...

Embolization of porto-systemic shunt as treatment for recurrent hepatic encephalopathy.

A 72-year-old female with a history of autoimmune hepatitis-related cirrhosis, osteoporosis, and hypertension was admitted with recurrent episodes of confusion and drowsiness over the course of two years. On each occasion, the patient demonstrated fluctuating confusion with drowsiness and was disorientated to time and place. A marked liver flap was present on examination with no other features ...

Portal systemic encephalopathy (PSE).

Sixtynine cases of portal systemic encephalopathy (PSE) (45 cirrhosis, 24 hepatitis) were seen during 15 months. Coma due to acute viral hepatitis occurred in a younger age group as compared to cirrhosis. Upper gastrointestinal bleeding and hepatic necrosis were the main precipitating factors. Most of the patients were in grade Ill (37.6%) and IV (34.7%) coma when first seen. Blood ammonia nitr...