title: Hemodialysis-related portal-systemic encephalopathy.
abstract: Hemodialysis-related portal-systemic encephalopathy (HRPSE) is characterized by the presence of portosystemic encephalopathy without liver dysfunction, usually caused by changes in the systemic venous flow related to hemodialysis. We herein describe the case of a 75-year-old woman who developed hepatic encephalopathy five years after the initiation of hemodialysis. Abdominal contrast-enhanced computed tomography (CT) and three-dimensional CT angiography revealed a portosystemic venous shunt, and the patient was diagnosed with portosystemic encephalopathy. Occlusion therapy ameliorated her disturbance of consciousness. HRPSE should be recognized as a treatable neuropsychiatric disorder.
authors.affiliation: Department of Neurology, Nagoya University Graduate School of Medicine, Japan.
authors.forename: Naohide
authors.initials: N
authors.lastname: Kondo
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ito
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamashita
authors.forename: Fumika
authors.initials: F
authors.lastname: Azuma
authors.forename: Kazuya
authors.initials: K
authors.lastname: Nokura
authors.forename: Takeshi
authors.initials: T
authors.lastname: Yasuda
authors.forename: Gen
authors.initials: G
authors.lastname: Sobue
mesh_terms: D000368:Aged; D000792:Angiography; D021721:Balloon Occlusion / Q000379:methods*; D005260:Female; D006501:Hepatic Encephalopathy / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D006435:Renal Dialysis / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed / Q000009:adverse effects; D016896:Treatment Outcome