Unexpectedly abnormal MR brain scan in liver disease.

IF 2.3 Q2 CLINICAL NEUROLOGY

PRACTICAL NEUROLOGY Pub Date : 2025-06-18 DOI:10.1136/pn-2025-004666

Valeria Ariza Hutchinson, Aivi T Nguyen, Eelco F M Wijdicks

引用次数: 0

Abstract

An elderly woman presented with coma secondary to acute-on-chronic liver failure and was found to have severe hyperammonaemia. MR scan of brain showed extensive bilateral and symmetric cortical and thalamic fluid-attenuated inversion recovery hyperintense signals and diffusion restriction. How should clinicians address the prognosis of such cases? Postmortem findings from this case provide new insights in pathophysiology.

查看原文本刊更多论文

肝脏疾病的MR脑部扫描异常。

一位老年妇女出现昏迷继发于急性慢性肝功能衰竭，并被发现有严重的高氨血症。脑MR扫描显示广泛的双侧对称皮质和丘脑-衰减反转恢复高信号和扩散限制。临床医生应如何处理这类病例的预后？本病例的尸检结果为病理生理学提供了新的见解。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

PRACTICAL NEUROLOGY Medicine-Neurology (clinical)

CiteScore

3.70

自引率

3.60%

发文量

113

期刊介绍： The essential point of Practical Neurology is that it is practical in the sense of being useful for everyone who sees neurological patients and who wants to keep up to date, and safe, in managing them. In other words this is a journal for jobbing neurologists - which most of us are for at least part of our time - who plough through the tension headaches and funny turns week in and week out. Primary research literature potentially relevant to routine clinical practice is far too much for any neurologist to read, let alone understand, critically appraise and assimilate. Therefore, if research is to influence clinical practice appropriately and quickly it has to be digested and provided to neurologists in an informative and convenient way.