PT  - JOURNAL ARTICLE
AU  - Feng-Zhen Huang
AU  - Xuan Hou
AU  - Tie-Qiao Zhou
AU  - Si Chen
TI  - Hepatic encephalopathy coexists with acquired chronic hepatocerebral degeneration
AID  - 10.17712/nsj.2015.3.20140759
DP  - 2015 Jul 01
TA  - Neurosciences Journal
PG  - 277--279
VI  - 20
IP  - 3
4099  - http://nsj.org.sa/content/20/3/277.short
4100  - http://nsj.org.sa/content/20/3/277.full
SO  - Neurosciences (Riyadh)2015 Jul 01; 20
AB  - Hyperkinetic extrapyramidal syndrome is the typical clinical characteristic of acquired hepatocerebral degeneration (AHD), but is usually not observed with hepatic encephalopathy (HE). We present a case of AHD coexisting with HE. Both conditions were secondary to liver cirrhosis and hepatitis C virus infection. The brain MRI showed bilateral and symmetric high T1 signal-intensity in the globus pallidus, and diffuse high signal-intensity of the hemispheric white matter on T2-FLAIR images. As we usually neglect the existence of AHD, the diagnosis is often ignored, especially when it coexists with HE. This case highlights the need to distinguish irreversible AHD from HE.