このエントリーをはてなブックマークに追加
ID 44827
file
creator
Honda, Yohji
Kubo, Masami
Takaki, Shintaro
Mori, Nami
Ishikawa, Masaki
Kakizawa, Hideaki
Tsuji, Keiji
Furukawa, Yoshinari
subject
Portosystemic Encephalopathy
Portosystemic shunt
Dementia
NDC
Medical sciences
abstract
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.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 66
issue
Issue 1
start page
17
end page
20
date of issued
2017-03
publisher
Hiroshima University Medical Press
issn
0018-2052
2433-7668
ncid
publisher doi
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
Copyright (c) 2017 Hiroshima University Medical Press
relation url
department
Graduate School of Biomedical & Health Sciences
他の一覧