The cerebellar form of acquired hepatocerebral degeneration: The hepatic ataxia

Parkinsonism Relat Disord. 2020 Mar:72:72-74. doi: 10.1016/j.parkreldis.2020.02.011. Epub 2020 Feb 22.

Abstract

This article reports a patient with acquired hepatocerebral degeneration that presented with progressive cerebellar ataxia, cerebellar atrophy, and middle cerebellar peduncle lesions. He had a marked improvement after liver transplantation. We reinforce that hepatic failure should be investigated in patients with pure cerebellar syndrome, resembling neurodegenerative diseases.

Keywords: Cerebellar ataxia; Hepatic encephalopathy; Liver transplantation; Movement disorders; Parkinsonism; Tremor.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Atrophy / pathology
  • Cerebellar Ataxia / etiology
  • Cerebellar Ataxia / pathology
  • Cerebellar Diseases / etiology*
  • Cerebellar Diseases / pathology
  • Hepatic Encephalopathy / etiology*
  • Hepatic Encephalopathy / surgery
  • Hepatolenticular Degeneration / complications*
  • Hepatolenticular Degeneration / pathology*
  • Humans
  • Liver Failure / etiology*
  • Liver Failure / surgery
  • Liver Transplantation
  • Male
  • Middle Aged
  • Middle Cerebellar Peduncle / pathology