Choreoathetoid movements associated with a spleno-renal shunt.
A 73-year-old woman without liver cirrhosis developed choreoathetoid movements of the limbs due to portal-systemic encephalopathy. A prominent spleno-renal shunt was demonstrated by non-invasive methods (abdominal computed tomography and sonography) as well as arterial portography. The choreoathetoid movements were improved by a protein-restricted diet and administration of lactulose. A portal systemic shunt should be considered when investigating choreoathetosis, even in patients without liver cirrhosis.
Yokota
T
T
Department of Neurology, Tokyo Medical and Dental University, Japan.
Tsuchiya
K
K
Umetani
K
K
Furukawa
T
T
Tsukagoshi
H
H
D000368:Aged; D005260:Female; D006801:Humans; D006975:Hypertension, Portal / Q000150:complications* / Q000175:diagnosis / Q000000981:diagnostic imaging; D009069:Movement Disorders / Q000178:diet therapy / Q000209:etiology*; D014057:Tomography, X-Ray Computed