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RT Journal Article
SR Electronic
T1 Reversal of Parkinsonism and Portosystemic Encephalopathy Following Embolization of a Congenital Intrahepatic Venous Shunt: Brain MR Imaging and <sup>1</sup>H Spectroscopic Findings
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1247
OP 1250
VO 25
IS 7
A1 da Rocha, Antônio J.
A1 Braga, Flávio T.
A1 da Silva, Carlos J.
A1 Maia, Antônio C. M.
A1 Mourão, Guilherme S.
A1 Gagliardi, Rubens J.
YR 2004
UL http://www.ajnr.org/content/25/7/1247.abstract
AB Summary: Parkinsonism and portosystemic encephalopathy (PSE) are cerebral disorders associated with motor and neuropsychological dysfunctions that may occur in patients with chronic liver disease. We describe a patient with parkinsonism and neuroradiologic and 1H spectroscopic findings of PSE associated with a large congenital intrahepatic portosystemic venous shunt. Chronic liver disease was absent. After endovascular treatment, we documented a progressive reversal of parkinsonism and PSE on the basis of clinical, neuroradiologic, and spectroscopic criteria.