Diverse Neurological Symptoms in Chronic Liver Failure: Difficulties in Etiological Diagnosis

Abstract

Acquired hepatocerebral degeneration (AHCD) describes a neurological disorder in the context of chronic hepatic failure which is not related to acute encephalopathy and not explained by an alternative cause. Patients with AHCD may have cognitive deficits, cerebellar findings, hypo-or hyperkinetic movement disorders, and sometimes myelopathy with typical magnetic resonance imaging (MRI) abnormalities, particularly T1 hyperintensity in the internal pallidum.