Pancreatic encephalopathy: a 7-year follow-up case report and review of the literature.
Pancreatic encephalopathy is a rare complication of acute pancreatitis. Clinical features include focal neurological signs and acute onset of dementia. This picture can fluctuate over time: cyclic progression with remission and relapses has been described. We present the case of a 43-year-old man who, after an acute episode of pancreatitis, experienced five relapses, with alternating focal signs. The patient has improved, but cognitive impairment persists after a 7-year follow-up.
Ruggieri
R M
RM
Institute of Neuropsychiatry, University of Palermo, Via G La Loggia 1, I-90129 Palermo, Italy.
Lupo
I
I
Piccoli
F
F
D000208:Acute Disease; D000328:Adult; D000681:Amylases / Q000097:blood; D001259:Ataxia / Q000209:etiology; D001927:Brain Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D002908:Chronic Disease; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D003937:Diagnosis, Differential; D018450:Disease Progression; D004568:Electrodiagnosis; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009483:Neuropsychological Tests; D010195:Pancreatitis / Q000150:complications* / Q000628:therapy; D010291:Paresis / Q000209:etiology; D012008:Recurrence; D012075:Remission, Spontaneous
D000681:Amylases