White Matter Microsusceptibility Changes in Patients With Hepatic Encephalopathy

Authors

  • Adina Floarea Achiriloaie
  • Daniel Kido
  • Nathaniel Dan Wycliffe
  • John Paul Jacobson

DOI:

https://doi.org/10.3941/jrcr.v5i8.393

Keywords:

neuroradiology, hepatic encephalopathy, brain MRI, susceptibility-weighted imaging

Abstract

We report a new radiological finding in two patients with hepatic encephalopathy.  A new susceptibility-weighted (SWI) magnetic resonance imaging sequence revealed multiple bilateral microsusceptibility changes in the corpus callosum and white matter, while the conventional T1 and T2 weighted images were unremarkable.  We postulate that the etiology of the microsusceptibility changes may be related to hepatic coagulopathy and other factors, such as impaired cerebral blood flow and brain edema.

Author Biographies

Adina Floarea Achiriloaie

Radiology, resident.

Daniel Kido

Neuroradiology, Chief

Nathaniel Dan Wycliffe

Neuroradiology, Associate professor.

John Paul Jacobson

Neuroradiology, Assistant professor.

Published

2011-08-13

Issue

Section

Neuroradiology