Choreoathetoid movements associated with a spleno-renal shunt

J Neurol. 1988 Nov;235(8):487-8. doi: 10.1007/BF00314253.


A 73-year-old woman without liver cirrhosis developed choreoathetoid movements of the limbs due to portal-systemic encephalopathy. A prominent spleno-renal shunt was demonstrated by non-invasive methods (abdominal computed tomography and sonography) as well as arterial portography. The choreoathetoid movements were improved by a protein-restricted diet and administration of lactulose. A portal systemic shunt should be considered when investigating choreoathetosis, even in patients without liver cirrhosis.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Hypertension, Portal / complications*
  • Hypertension, Portal / diagnosis
  • Hypertension, Portal / diagnostic imaging
  • Movement Disorders / diet therapy
  • Movement Disorders / etiology*
  • Tomography, X-Ray Computed