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Acute Hepatic Encephalopathy with Diffuse Cortical Lesions Neuroradiology 43:551-554, Arnold, S.M.,et al, 2001 See this aricle in Pubmed Article Abstract Acute hepatic encephalopathy is a poorly defined syndrome of heterogeneous aetiology. We report a 49-year-old woman with alcoholic cirrhosis and hereditary haemorrhagic telangiectasia who developed acute hepatic coma induced by severe gastrointestinal bleeding. Laboratory analysis revealed excessively elevated blood ammonia. MRI showed lesions compatible with chronic hepatic encephalopathy and widespread cortical signal change sparing the perirolandic and occipital cortex. The cortical lesions resembled those of hypoxic brain damage and were interpreted as acute toxic cortical laminar necrosis.

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(click to filter results - removes previous filter) alcoholism ammonia cerebral cortex cerebral edema cirrhosis coma deep gray nuclei hepatic encephalopathy hepatic encephalopathy, acute hepatic failure laminar necrosis,cortical liver disease liver function enzymes MRI MRI,abnormal MRI,diffusion weighted neurotoxin symmetric brain lesions thalamus,lesion of thalamus,lesion of-bilateral

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