title: Hepatic encephalopathy coexists with acquired chronic hepatocerebral degeneration.
abstract: Hyperkinetic extrapyramidal syndrome is the typical clinical characteristic of acquired hepatocerebral degeneration (AHD), but is usually not observed with hepatic encephalopathy (HE). We present a case of AHD coexisting with HE. Both conditions were secondary to liver cirrhosis and hepatitis C virus infection. The brain MRI showed bilateral and symmetric high T1 signal-intensity in the globus pallidus, and diffuse high signal-intensity of the hemispheric white matter on T2-FLAIR images. As we usually neglect the existence of AHD, the diagnosis is often ignored, especially when it coexists with HE. This case highlights the need to distinguish irreversible AHD from HE.
authors.affiliation: Department of Neurology & Institute of Translational Medicine at University of South China, the First People`s Hospital of Chenzhou, Chenzhou, Hunan, P. R. China.
authors.forename: Feng-Zhen
authors.initials: FZ
authors.lastname: Huang
authors.forename: Xuan
authors.initials: X
authors.lastname: Hou
authors.forename: Tie-Qiao
authors.initials: TQ
authors.lastname: Zhou
authors.forename: Si
authors.initials: S
authors.lastname: Chen
mesh_terms: D000368:Aged; D002908:Chronic Disease; D005260:Female; D006501:Hepatic Encephalopathy / Q000150:complications / Q000175:diagnosis*; D006527:Hepatolenticular Degeneration / Q000150:complications / Q000175:diagnosis*; D006801:Humans