Hemodialysis-related portal-systemic encephalopathy

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

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


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 languageEnglish
Pages (from-to)1113-1117
Number of pages5
JournalInternal Medicine
Issue number9
Publication statusPublished - 2015

All Science Journal Classification (ASJC) codes

  • Internal Medicine


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