Portosystemic Encephalopathy without Liver Disease Masquerading as Dementia

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タイトル ( eng )
Portosystemic Encephalopathy without Liver Disease Masquerading as Dementia
作成者
Honda Yohji
Kubo Masami
Takaki Shintaro
Mori Nami
Ishikawa Masaki
Kakizawa Hideaki
Tsuji Keiji
Furukawa Yoshinari
収録物名
Hiroshima Journal of Medical Sciences
66
1
開始ページ 17
終了ページ 20
収録物識別子
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
抄録
An 84-year-old woman was hospitalized due to consciousness disorder as hyperammonemia. She had no etiology of liver disease. Twelve months before the current admission, she had been diagnosed with dementia based on her low level of daily perception and physical activity. Abdominal computed tomography revealed a large portosystemic shunt between the medial branch of the portal vein and middle hepatic vein. After the improvement of her consciousness disturbance by medical treatment, percutaneous shunt embolization was electively performed. The patient showed a remarkable clinical improvement. Consciousness disturbance caused by hyper-ammonemia might be underlying in dementia patients. Increase of hepatopetal portal blood flow might have contributed to the improvement of her consciousness disturbance. Embolization of the portosystemic shunt might be more effective for patients without liver disease as in the present case.
著者キーワード
Portosystemic Encephalopathy
Portosystemic shunt
Dementia
NDC分類
医学 [ 490 ]
言語
英語
資源タイプ 紀要論文
出版者
Hiroshima University Medical Press
発行日 2017-03
権利情報
Copyright (c) 2017 Hiroshima University Medical Press
出版タイプ Version of Record(出版社版。早期公開を含む)
アクセス権 オープンアクセス
収録物識別子
[ISSN] 0018-2052
[ISSN] 2433-7668
[NCID] AA00664312
[DOI] 10.24811/hjms.66.1_17
[DOI] https://doi.org/10.24811/hjms.66.1_17