Bilateral symmetric T1 hyperintensities in the globus pallidus on MRI are a hallmark of manganese deposition secondary to hepatic dysfunction, reflecting portosystemic shunting and subclinical hepatic encephalopathy. A 60-year-old man with history of diabetes mellitus type 2, and chronic liver disease, presented with troubling gait. The rest of the neurological examination was unremarkable.
Publicación Oficial de la Sociedad Ecuatoriana de Neurología, de la Liga Ecuatoriana Contra la Epilepsia y de la Sociedad Iberoamericana de Enfermedad Cerebrovascular
