Presentation
Clinical picture raised a suspicion of encephalitis, so an MRI Brain study was done
Patient Data
Age: 60 years
Gender: Female
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Bilateral symmetrical T1 hyperintense signals from globus pallidi not enhancing on the postcontrast study.
Case Discussion
Lab parameters revealed an album-globulin reversal. The possibility of chronic liver disease was suggested to the clinician. Screening ultrasound abdomen revealed hepatic sonomorphology suggestive of chronic liver parenchymal changes.
Hence a diagnosis of hepatolenticular degeneration was given.