Reversal of parkinsonism and portosystemic encephalopathy following embolization of a congenital intrahepatic venous shunt: brain MR imaging and 1H spectroscopic findings.

Autor: da Rocha AJ; Centro de Medicina Diagnóstica, Setor de Imagem, Laboratório Fleury, São Paulo Brazil., Braga FT, da Silva CJ, Maia AC Jr, Mourão GS, Gagliardi RJ
Jazyk: angličtina
Zdroj: AJNR. American journal of neuroradiology [AJNR Am J Neuroradiol] 2004 Aug; Vol. 25 (7), pp. 1247-50.
Abstrakt: Parkinsonism and portosystemic encephalopathy (PSE) are cerebral disorders associated with motor and neuropsychological dysfunctions that may occur in patients with chronic liver disease. We describe a patient with parkinsonism and neuroradiologic and 1H spectroscopic findings of PSE associated with a large congenital intrahepatic portosystemic venous shunt. Chronic liver disease was absent. After endovascular treatment, we documented a progressive reversal of parkinsonism and PSE on the basis of clinical, neuroradiologic, and spectroscopic criteria.
Databáze: MEDLINE