Abstract

Tc-99m HMPAO SPECT brain perfusion was performed in a patient with portal-systemic encephalopathy. Decreased perfusion to both parietal lobes and increased perfusion to the basal ganglia bilaterally were demonstrated. After successful treatment, these findings improved. Some authors have reported reduced cerebral blood flow in portal-systemic encephalopathy. However, to our knowledge, there have been no reports describing a case in which both increased perfusion and decreased perfusion are recognized simultaneously.

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