[Portosystemic shunt encephalopathy. Clinical and radiological evaluation by using multidetector-row CT angiography].
We describe the case of a 72-year-old woman who presented a symptomatology characterized by recurrent episodes of confusion, weakness with cerebral vasculopathy. The high values of ammonium were correctly defined thanks to the diagnostic multidetector-row CT information and we referred the symptoms to porto-systemic shunts with the exclusion of hepatic vascularization due to an inferior vena cava stenosis.
Pascalis
L
L
Unità di Medicina Interna 2, Ospedale San Giovanni di Dio, ASL 8, Cagliari, Italy.
Saba
L
L
Sessini
P A
PA
Pia
G
G
Mallarini
G
G
D000368:Aged; D000792:Angiography / Q000379:methods; D005260:Female; D006501:Hepatic Encephalopathy / Q000000981:diagnostic imaging*; D006801:Humans; D014057:Tomography, X-Ray Computed / Q000379:methods*