RT Journal Article
SR Electronic
T1 Hepatic encephalopathy coexists with acquired chronic hepatocerebral degeneration
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 277
OP 279
DO 10.17712/nsj.2015.3.20140759
VO 20
IS 3
A1 Feng-Zhen Huang
A1 Xuan Hou
A1 Tie-Qiao Zhou
A1 Si Chen
YR 2015
UL http://nsj.org.sa/content/20/3/277.abstract
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.