Hepatic encephalopathy due to extrahepatic portosystemic shunt

Abstract

Clinicians should recognize extrahepatic portosystemic shunt as a cause of refractory or intermittent hepatic encephalopathy. Treatment strategies should be individualized according to patients' anatomic and hemodynamic status.

Unexplained hyperammonemia and encephalopathy in the emergency department: Abernethy malformation in elderly patients

“…Unlike in children or young adults, encephalopathy is a cardinal clinical presentation in elderly people. Patients in previous studies presented with encephalopathy and had intermittent ataxia, [7,8,12] asterixis, [8,13] altered mental status, [13,14] discrepant conversation, [10] dysarthria, [12] or stupor. [7,8,12,15] Other cases are usually discovered incidentally or during work-up for liver nodules or dysfunction.…”