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. 2008 Jul;11(3):179-81.
doi: 10.4103/0972-2327.42938.

Cirrhosis presenting as Parkinsonism

Mohan L Noone  1 , V G Pradeep Kumar, K Ummer, Laila Achambat, K A Salam
Affiliations

Cirrhosis presenting as Parkinsonism

Mohan L Noone et al. Ann Indian Acad Neurol. 2008 Jul.

Abstract

Cirrhosis presenting as Parkinsonism is a distinct subset of acquired chronic hepatocerebral degeneration. The entity is not rare, and unless suspected, cirrhosis can easily be overlooked. We report our experience with three such patients. They presented to us, over a period of two years, with symmetrical Parkinsonism and were later diagnosed to have cirrhosis with portal hypertension. All patients had minimal or absent tremors. Reversal of serum albumin to globulin ratio and evidence of cirrhosis on abdominal ultrasound were consistent. All three patients had the characteristic MRI abnormality of symmetrical T1 hyperintensity in basal ganglia and anterior midbrain. They improved to variable extents after treatment for cirrhosis, along with dopa agonists. We stress the importance of recognizing this syndrome and briefly review the relevant literature.

Keywords: Acquired hepatocerebral degeneration; cirrhosis; parkinsonism.

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Conflict of interest statement

Conflict of Interest: Nil

Figures

Figure 1
Figure 1
MRI Brain showing symmetrical hyperintensities in pallida and anterior midbrain in case 1 (A), case 2 (B) and case 3 (C).
See this image and copyright information in PMC

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