2015, Number 4
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Med Int Mex 2015; 31 (4)
Role of manganese on hepatolenticular degeneration: an underestimated complication of hepatic encephalopathy
Rebolledo-García D, Espay A, Espinoza GA, Contreras-Garduño S, Rebolledo-Rodríguez Z
Language: Spanish
References: 23
Page: 478-484
PDF size: 499.90 Kb.
ABSTRACT
Non Wilsonian hepatolenticular degeneration (Parkinsonism associated with cirrhosis of the liver) is a chronic encephalopathy with an engine extrapyramidal clinical spectrum due to dysfunction of basal ganglia in the context of severe liver disease. The diagnosis of the disease
is underestimated by categorized within the spectrum of hepatic encephalopathy. There is evidence that the manganese deposits in the basal ganglia interfere with modulation of GABAergic and dopaminergic systems synergistically with ammonium glutamate leads to a state of neurodegeneration, with different pathophysiological idiopathic Parkinson’s disease.
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