Open AccessA Case of Acquired Hepato-Cerebral Degeneration after Splenorenal Shunt from Ethiopia
Author(s) -
Mohammed Abdu,
AUTHOR_ID,
Abate Bane,
AUTHOR_ID
Publication year - 2022
Language(s) - English
DOI - 10.47363/jghr/2022(3)128
Subject(s) - medicine , portal hypertension , splenectomy , esophageal varices , cirrhosis , shunt (medical) , shunting , varices , surgery , portosystemic shunt , degeneration (medical) , pathology , spleen
Acquired hepato-cerebral degeneration (AHD) is a neurologic syndrome caused by liver dysfunction and long-standing portosystemic shunting. There is scarce and conflicting information regarding the clinical course of AHD. We report the case of a 25-year-old male who underwent splenectomy and splenorenal shunt for recurrent UGIB 20 to Esophageal varices 20 to Non-Cirrhotic portal hypertension 20 to Non-Cirrhotic portal fibrosis and hypersplenism, in Mumbai, India. He presented with slow movement, hypophonia, gait instability, and rigidity of the lower extremities. In this paper, we discuss the patient’s case with literature review.