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J Neurol Neurosurg Psychiatry 2008;79:96 doi:10.1136/jnnp.2007.121822
  • Neurological picture

Portal–systemic encephalopathy in a non-cirrhotic patient

  1. K Fukushima1,
  2. M Kurozumi2,
  3. M Kadoya2,
  4. S Ikeda1
  1. 1
    Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto, Japan
  2. 2
    Department of Radiology, Shinshu University School of Medicine, Matsumoto, Japan
  1. Dr K Fukushima, Department of Medicine (Neurology and Rheumatology), Shinshu University School of Medicine, Matsumoto 390-8621, Japan; fuku{at}hsp.md.shinshu-u.ac.jp

    We report a rare case of non-cirrhotic intrahepatic portal–systemic venous shunt. The patient presented with repeated neuropsychiatric symptoms. Our case reminds us that such portal–systemic encephalopathy should be considered even in cases without any chronic liver diseases, as a differential diagnosis of non-specific neuropsychiatric symptoms.

    A 77-year-old woman was transferred to our hospital with repeated episodes of consciousness disturbance. She had no history of liver disease, surgery, alcoholism, drug abuse or trauma. For a few …

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