Magnetic resonance imaging findings of hepatic encephalopathy in a dog with a portosystemic shunt

J Vet Med Sci. 2012 Mar;74(3):361-6. doi: 10.1292/jvms.11-0198. Epub 2011 Oct 21.

Abstract

A 6-year-old ShihTzu presented with tonic-clonic cluster seizure. T2-weighted magnetic resonance (MR) images showed bilateral diffuse hyperintense lesions at the cerebral cortex with enlarged sulci. Computed tomography revealed a portosystemic shunt (PSS) and azygos continuation. Based on the clinical signs, blood examinations and diagnostic images, the dog was diagnosed with hepatic encephalopathy secondary to PSS. The neurologic signs were gradually improved after medical therapy for hyperammonemia. This is the first report of hyperintensity of the cerebral cortex on T2-weighted MR images associated with acute hepatic encephalopathy in a dog.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain / pathology
  • Dog Diseases / pathology*
  • Dogs
  • Female
  • Hepatic Encephalopathy / diagnostic imaging
  • Hepatic Encephalopathy / pathology
  • Hepatic Encephalopathy / veterinary*
  • Liver Diseases / complications
  • Liver Diseases / veterinary*
  • Magnetic Resonance Imaging / veterinary*
  • Portal System / pathology*
  • Radiography
  • Seizures / etiology
  • Seizures / veterinary