Hemodialysis-related portal-systemic encephalopathy

Naohide Kondo; Yasuhiro Ito; Hiroshi Yamashita; Fumika Azuma; Kazuya Nokura; Takeshi Yasuda; Gen Sobue

doi:10.2169/internalmedicine.54.0267

Hemodialysis-related portal-systemic encephalopathy

Naohide Kondo, Yasuhiro Ito, Hiroshi Yamashita, Fumika Azuma, Kazuya Nokura, Takeshi Yasuda, Gen Sobue

Neurology & Neuroscience

Research output: Contribution to journal › Article › peer-review

3 Citations (Scopus)

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.

Original language	English
Pages (from-to)	1113-1117
Number of pages	5
Journal	Internal Medicine
Volume	54
Issue number	9
DOIs	https://doi.org/10.2169/internalmedicine.54.0267
Publication status	Published - 2015

All Science Journal Classification (ASJC) codes

Internal Medicine

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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.",

author = "Naohide Kondo and Yasuhiro Ito and Hiroshi Yamashita and Fumika Azuma and Kazuya Nokura and Takeshi Yasuda and Gen Sobue",

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T1 - Hemodialysis-related portal-systemic encephalopathy

AU - Kondo, Naohide

AU - Ito, Yasuhiro

AU - Yamashita, Hiroshi

AU - Azuma, Fumika

AU - Nokura, Kazuya

AU - Yasuda, Takeshi

AU - Sobue, Gen

PY - 2015

Y1 - 2015

N2 - 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.

AB - 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.

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Hemodialysis-related portal-systemic encephalopathy

Abstract

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