Cortical Ribbon Sign in Acute Hepatic Encephalopathy with Sequential Atrophy.
Can J Neurol Sci
; 46(6): 758-759, 2019 11.
Article
em En
| MEDLINE
| ID: mdl-31452474
ABSTRACT
A 59-year-old man presented with confusion, decreased level of consciousness, and generalized tonic-clonic seizures. He was intubated and promptly stabilized on antiepileptic medications. He was not in status epilepticus. He improved after seizure control, though he remained confused. He was neither acutely intoxicated nor were there any substance withdrawal concerns prior to his presentation. Furthermore, no metabolic, electrolyte, or nutritional perturbations were identified. He did, however, have a history of alcoholic hepatitis and was awaiting a liver transplant, but his blood work did not reveal evidence of fulminant hepatic failure at presentation (international normalized ratio - 1.17, platelet count 161,000/µL, ammonia 18 µmol/L, blood urea nitrogen 4.5 mmol/L, and his liver enzymes were only remarkable for an elevated alkaline phosphatase of 143 U/L).
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Córtex Cerebral
/
Encefalopatia Hepática
Tipo de estudo:
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Can J Neurol Sci
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Canadá