A Case of Acquired Hepato-Cerebral Degeneration after Splenorenal Shunt from Ethiopia

Authors

  • Abdu Mohammed Department of Internal Medicine, Gastroenterology and Hepatology, Adera Medical center, Addis Ababa, Ethiopia Author
  • AbateBane Department of Internal Medicine, Gastroenterology and Hepatology, CHS, Addis Ababa University, Addis Ababa, Ethiopia Author
  • Getahun Mengistu Department of Neurology, CHS, Addis Ababa University, Addis Ababa, Ethiopia Author
  • Fekadu Ayalew Department of Radiology, Adera Medical center, Addis Ababa, Ethiopia Author

DOI:

https://doi.org/10.47363/JGHR/2022(3)128

Keywords:

Acquired Hepato-Cerebral Degeneration, NonCirrhotic Portal Hypertension, Non-Cirrhotic Portal Fibrosis, Ethiopia

Abstract

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.

Author Biographies

  • Abdu Mohammed, Department of Internal Medicine, Gastroenterology and Hepatology, Adera Medical center, Addis Ababa, Ethiopia

    Department of Internal Medicine, Gastroenterology and Hepatology, Adera Medical center, Addis Ababa, Ethiopia

  • AbateBane, Department of Internal Medicine, Gastroenterology and Hepatology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

    Department of Internal Medicine, Gastroenterology and Hepatology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

  • Getahun Mengistu, Department of Neurology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

    Department of Neurology, CHS, Addis Ababa University, Addis Ababa, Ethiopia

  • Fekadu Ayalew, Department of Radiology, Adera Medical center, Addis Ababa, Ethiopia

    Department of Radiology, Adera Medical center, Addis Ababa, Ethiopia

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Published

2022-01-17

Issue

Vol. 3 No. 1 (2022): volume 3 Issue 1

Section

Articles