Marked Cognitive and Activities of Daily Living Improvement by Shunt Embolization in a Very Old Man with Portosystemic Encephalopathy Mimicking Alzheimer Disease: A Case Report
Abstract:A 91-year-old man with chronic cognitive impairment underwent shunt embolization for portosystemic encephalopathy (PSE). He experienced intermittent episodes of impaired consciousness and decreased cognitive function and activities of daily living (ADL), for which Alzheimer's disease was suspected. On admission, he was in a coma and PSE was diagnosed based on his high ammonia level and the computed tomography (CT) findings. After shunt embolization, the patient fully recovered from the impaired consciousness a… Show more
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