Episodic confusion and tremor associated with extrahepatic portacaval shunting in cirrhotic liver disease

D. M. Russell, Frederick Keller, J. N. Whitaker

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In an elderly male patient with alcohol-related liver disease, who developed episodic confusion and tremor, we found a large extrahepatic portacaval shunt. He had no clinical or laboratory evidence of liver dysfunction except for an elevated serum ammonia level that increased Mher in response to an ammonium chloride challenge test. Extrahepatic portacaval shunting causing episodic confusion and tremor may occur with alcoholic liver disease without overt liver failure and may require abdominal angiography or a transhepatic portogram to demonstrate the shunt.

Original languageEnglish (US)
Pages (from-to)403-405
Number of pages3
JournalNeurology
Volume39
Issue number3
StatePublished - 1989
Externally publishedYes

Fingerprint

Tremor
Liver Diseases
Surgical Portacaval Shunt
Ammonium Chloride
Alcoholic Liver Diseases
Liver Failure
Ammonia
Angiography
Alcohols
Serum
Confusion
Alcohol

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Clinical Neurology
  • Neuroscience(all)

Cite this

Episodic confusion and tremor associated with extrahepatic portacaval shunting in cirrhotic liver disease. / Russell, D. M.; Keller, Frederick; Whitaker, J. N.

In: Neurology, Vol. 39, No. 3, 1989, p. 403-405.

Research output: Contribution to journalArticle

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