Recovery from parkinson syndrome and prolonged visually evoked potentials in hepatic encephalopathy.

Abstract:

:The combination of Parkinson syndrome (PS) and prolonged visually evoked potentials (VEPs) in a single patient with hepatic encephalopathy (HE) has not been reported. A 52-year-old male with chronic HE developed PS in early 2001. Treatment with L-DOPA was only of minimal effect. In August 2001 he was admitted because of worsening PS and HE. There was anemia, hyperlipidaemia, markedly elevated liver-function-parameters, hyperammonemia, elevated resting-lactate, steatosis hepatis and hepatomegalia. VEPs showed markedly prolonged P100-latencies. Under L-DOPA, pramipexol, L-ornithin-L-aspartate, paromomycin-sulfate, and lactulose liver-function-parameters normalized and PS markedly improved. In February 2003, VEPs were normal. L-DOPA was discontinued by the patient in April 2003 and pramipexol in December 2003. Since then PS did not recur. This case shows that HE may go along with reversible PS and prolonged VEPs. Under adequate therapy liver-function-parameters and VEPs normalize and PS disappears.

journal_name

Metab Brain Dis

journal_title

Metabolic brain disease

authors

Finsterer J,Bernauer E

doi

10.1007/s11011-005-2476-z

subject

Has Abstract

pub_date

2005-03-01 00:00:00

pages

55-60

issue

1

eissn

0885-7490

issn

1573-7365

journal_volume

20

pub_type

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