Abstract
Acquired hepatocerebral degeneration is a subtype of chronic recurrent hepatic encephalopathy and is characterised by movement disorders and increased signal intensity in the basal ganglia on Tl-weighted MRI images.
Highlights
A 49-year-old female patient was admitted to a local hospital casualty department after having had a grandmal seizure
Calcification as a cause was ruled out on the unenhanced CT scan of the brain and there was no history of neurofibromatosis or previous parenteral nutrition
Acquired hepatocerebral degeneration is an irreversible neuro-degenerative syndrome occurring in association with chronic liver disease such as alcoholic cirrhosis and chronic hepatitis as well as with portosystemic shunts
Summary
A 49-year-old female patient was admitted to a local hospital casualty department after having had a grandmal seizure. She was found to have hepatomegaly, anaemia and stigmata of chronic alcohol abuse. Biochemical analysis showed deranged liver enzymes and haematological analysis showed anaemia but a normal clotting profile. CT scans of the brain, and an abdominal ultrasound.
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