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A case of portosystemic shunt found by consciousness disturbance during treatment of cerebral infarction So Oishi*1, 2, Yujiro Hamano*2, Michitaro Ichikawa*2, Hiroshi Takayama*2, Kenichi Nitta*2, Hiroshi Imamura*2 *1 JA Nagano Kouseiren Minaminagano Medical Center, Shinonoi General Hospital (666-1 Ai, Shinonoi, Nagano, Nagano 388-8004, Japan) *2 Department of Emergency and Critical Care Medicine, Shinshu University School of Medicine(3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan)