Reduction of Increased Signal Intensity in the Basal Ganglia on T1-Weighted MR Images during Treatment of Hepatic Encephalopathy.
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概要
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A 61-year-old man with liver cirrhosis showed a symmetrical increase in the signal intensity of the basal ganglia on T1-weighted magnetic resonance (MR) images, which was diminished after 3 months of treatment for hepatic encephalopathy. He recovered from encephalopathy with treatment, and liver dysfunction (hyperammonemia and abnormal blood coagulation) as well as the results of quantitative psychometric tests showed a marked improvement. The cause of these high signal intensity changes on T1-weighted images and the reason for their partial reversibility are not known, but hyperammonemia due to portal-systemic shunting might be closely related to these clinical observations.(Internal Medicine 32: 10-14, 1993)
- 社団法人 日本内科学会の論文
著者
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WAKABAYASHI Hiroyuki
The Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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WATANABE Akiharu
The Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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MURAKAMI Jyun
the Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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ANDO Takao
the Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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HIOKI Osamu
the Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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HIGUCHI Kiyohiro
the Third Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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- Reduction of Increased Signal Intensity in the Basal Ganglia on T1-Weighted MR Images during Treatment of Hepatic Encephalopathy.