Acute Hepatic Encephalopathy Presenting as Cortical Laminar Necrosis: Case Report
Korean Journal of Radiology
; : 324-328, 2013.
Article
en En
| WPRIM
| ID: wpr-74087
Biblioteca responsable:
WPRO
ABSTRACT
We report on a 55-year-old man with alcoholic liver cirrhosis who presented with status epilepticus. Laboratory analysis showed markedly elevated blood ammonia. Brain magnetic resonance imaging (MRI) showed widespread cortical signal changes with restricted diffusion, involving both temporo-fronto-parietal cortex, while the perirolandic regions and occipital cortex were uniquely spared. A follow-up brain MRI demonstrated diffuse cortical atrophy with increased signals on T1-weighted images in both the basal ganglia and temporal lobe cortex, representing cortical laminar necrosis. We suggest that the brain lesions, in our case, represent a consequence of toxic effect of ammonia.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Atrofia
/
Estado Epiléptico
/
Encefalopatías
/
Imagen por Resonancia Magnética
/
Encefalopatía Hepática
/
Amoníaco
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Cirrosis Hepática Alcohólica
/
Necrosis
Límite:
Humans
/
Male
Idioma:
En
Revista:
Korean Journal of Radiology
Año:
2013
Tipo del documento:
Article