REDUCTION OF INCREASED SIGNAL INTENSITY IN THE BASAL GANGLIA ON T1-WEIGHTED MR IMAGES DURING TREATMENT OF HEPATIC-ENCEPHALOPATHY

被引：18

作者：

WATANABE, A

MURAKAMI, J

ANDO, T

HIOKI, O

WAKABAYASHI, H

HIGUCHI, K

机构：

[1] Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University, Toyama

来源：

INTERNAL MEDICINE | 1993年 / 32卷 / 01期

关键词：

LIVER CIRRHOSIS; HYPERAMMONEMIA; PORTAL-SYSTEMIC SHUNT; BRAIN LESIONS;

D O I：

10.2169/internalmedicine.32.10

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 61-year-old man with liver cirrhosis showed a symmetrical increase in the signal intensity of the basal ganglia on T1-weighted magnetic resonance (MR) images, which was diminished after 3 months of treatment for hepatic encephalopathy. He recovered from encephalopathy with treatment, and liver dysfunction (hyperammonemia and abnormal blood coagulation) as well as the results of quantitative psychometric tests showed a marked improvement. The cause of these high signal intensity changes on T1-weighted images and the reason for their partial reversibility are not known, but hyperammonemia due to portal-systemic shunting might be closely related to these clinical observations.

引用

页码：10 / 14

页数：5

共 14 条

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