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.
cirrosis hepática
Bilateral Globus Pallidus T1 Hyperintensity in Hepatic Cirrhosis. Hiperintensidades de Globos Pálidos en Cirrosis Hepática
Palabras clave: cirrosis hepática,
Hiperintensidades de Globos Pálidos,
Keywords: Bilateral Globus Pallidus,
Hepatic Cirrhosis,
Insuficiencia Hepática Crónica y Lesiones Palidales Bilaterales. Chronic Liver Failure And Bilateral Pallidal Lesions.
A 66-year-old woman with history of cirrhosis of unknown etiology was evaluated one month after transient loss of consciousness followed by dystonic posturing, abnormal speech and shuffling gate.
She had been complaining of chronic fatigue, anorexia and weight loos for the past six months, and referred two episodes of non-traumatic nose bleeding in the past two weeks.
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Palabras clave: cirrosis hepática,
degeneración hepatocerebral,
globo pálido,
Parkinsonismo pallidal,
