A 63-year-old male patient, has been hospitalized due to a first time generalized tonic-clonic seizure. During the seizure, it was noted that the patient bit his tongue and the bleeding was persistent. After taking the seizures under control, acute CT findings were normal(no acute pathology was detected).It was learnt that he was often falling asleep, having uncontrollable laughs and inappropriate or unrelated talking episodes and suffering from forgetfulness for a couple of years. Confusion, lethargy, uncontrollable laughs, ataksia, asterixis and agitation were the neurological examination findings. In screening low trombocyte levels, mildly increased hepatic enzymes and excessive levels of ammonia were determined in addition to the hepatosplenomegaly confirmed by ultrasound imaging. Cranial MRI findings signaled to be hepatocerebral degeneration: hyperintense leisons were found in T1 sequence on bilateral globus pallidus and in T2 sequences on the right half of pons. Also triphased waves and delta and tetha activites were seen on electroencephalography.
Key Words: Hepatocerebral dejeneration, HCV, Epilepsy
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