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Minerva Medica 2007 February;98(1):69-75

Copyright © 2007 EDIZIONI MINERVA MEDICA

language: Italian

Portosystemic shunt encephalopathy. Clinical and radiological evaluation by using multidetector-row CT angiography

Pascalis L. 1, Saba L. 2, Sessini P. A., Pia G. 3, Mallarini G. 2

1 Unità di Medicina Interna 2 Ospedale San Giovanni di Dio, ASL 8, Cagliari 2 Istituto di Radiologia Università degli Studi di Cagliari, Cagliari 3 Pronto Soccorso Ospedale SS. Trinità, ASL 8, Cagliari


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We describe the case of a 72-year-old woman who presented a symptomatology characterized by recurrent episodes of confusion, weakness with cerebral vasculopathy. The high values of ammonium were correctly defined thanks to the diagnostic multidetector-row CT information and we referred the symptoms to porto-systemic shunts with the exclusion of hepatic vascularization due to an inferior vena cava stenosis.

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