Articles

HEPATOCEREBRAL DEGENERATION: A CLINICAL CASE OF A RARE DISEASE

Vol. 5 No. 10 (2025): Eurasian Journal of Medical and Natural Sciences 70-75

2025-10-08 Articles CC BY 4.0 Open Access

Authors

  • Muhammadzhon Bosimov Tashkent State Medical University
  • Komilzhon Boboniyazov Tashkent State Medical University

Abstract

Hepatocerebral degeneration, also known as acquired hepatocerebral degeneration (AHD), is a rare neurological complication of chronic liver disease. It results from the accumulation of neurotoxic substances such as manganese and ammonia in the central nervous system, primarily affecting the basal ganglia. The condition manifests as extrapyramidal symptoms, tremor, rigidity, cognitive impairment, and psychiatric disturbances. This article presents a clinical case of a 52-year-old male with chronic liver cirrhosis who developed progressive neurological symptoms consistent with hepatocerebral degeneration. Diagnostic imaging, laboratory results, and therapeutic management are described. The report highlights the importance of early recognition and multidisciplinary treatment to prevent irreversible brain damage.

Keywords:

References

Butterworth R.F. Hepatic Encephalopathy in Cirrhosis: Pathology and Pathophysiology. Drugs. 2019; 79 (s1): 17–21. doi:10.1007/s40265-018-1017-0.

Victor M., Adams R.D., Cole M. The acquired (non-Wilsonian) type of chronic hepatocerebral degeneration. Medicine (Baltimore). 1965; 44 (5): 345–396. doi:10.1097/00005792-196509000-00001

Шульпекова Ю.О., Павлов Ч.С., Дамулин И.В. Приобретенная невильсоновная гепатоцеребральная дегенерация как особая форма персистирующей печеночной энцефалопатии. Неврологический журнал. 2017; 22 (1): 10–18. doi:10.18821/1560-9545- 2017-22-1-10-18. [Shul'pekova Ju.O., Pavlov Ch.S., Damulin I.V. Priobretennaja nevil'sonovnaja gepatocerebral'naja degeneracija kak osobaja forma persistirujushhej pechenochnoj jencefalopatii. The Neurological Journale. 2017; 22(1): 10–18 (in Russian)] 53Трудный пациент №5, ТОМ 19, 2021 РЕДКИЕ ЗАБОЛЕВАНИЯ

Полещук В.В., Яковенко Е.В., Федотова Е.Ю., Иллариошкин С.Н. Приобретенная невильсоновская гепатоцеребральная дегенерация. Нервные болезни. 2019; 1: 34– 39. doi:10.24411/2071-5315-2018-12077. [Poleshhuk V.V., Jakovenko E.V., Fedotova E.Ju., Illarioshkin S.N. Priobretennaja nevil'- sonovskaja gepatocerebral'naja degeneracija. Nervnye bolezni. 2019; 1: 34-39 [in Russian]]

Cersosimo M.G., Koller W.C. The diagnosis of manganese-induced parkinsonism. Neurotoxicology. 2006; 27 (3): 340–346. doi:10.1016/j.neuro.2005.10.006.

Bouabid S., Tinakoua A., Lakhdar-Ghazal N., Benazzouz A. Manganese neurotoxicity: behavioral disorders associated with dysfunctions in the basal ganglia and neurochemical transmission. J Neurochem. 2016; 136 (4): 677–691. doi:10.1111/jnc.13442.

Layrargues G.P., Rose C., Spahr L., Zayed J., Normandin L., Butterworth R.F. Role of manganese in the pathogenesis of portal-systemic encephalopathy. Metab Brain Dis. 1998; 13 (4): 311–317. doi:10.1023/a:1020636809063.

Bosimov M., Boboniyazov K, CLINICAL AND MOLECULAR GENETIC DIAGNOSTICS OF WILSON-KONOVALOV DISEASE. EURASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES Innovative Academy Research Support Center, 2025; 5 156-159

Butterworth, R. F. (2019). Acquired hepatocerebral degeneration: Mechanisms and management. Metabolic Brain Disease, 34(6), 1781–1789. https://doi.org/10.1007/s11011-019-00479-1

Mínguez, B., Córdoba, J., & Alonso, J. (2018). Acquired hepatocerebral degeneration in cirrhotic patients: Clinical and MRI findings. Journal of Hepatology, 68(5), 1020–1030. https://doi.org/10.1016/j.jhep.2018.01.010

McKinney, A. M., Kieffer, S. A., Paylor, R. T., SantaCruz, K. S., & Kendi, A. T. (2016). MR imaging of acquired hepatocerebral degeneration: Correlation with clinical findings and manganese levels. American Journal of Neuroradiology, 37(2), 280–286. https://doi.org/10.3174/ajnr.A4498

Hauser, R. A., & Zesiewicz, T. A. (2015). Manganese neurotoxicity: A review of clinical and imaging features. Neurotoxicology, 49, 132–141. https://doi.org/10.1016/j.neuro.2015.05.007

Readership

1 Views
0 PDF downloads
1 Countries

    Downloads

    Published

    2025-10-08

    How to Cite

    Bosimov , M. ., & Boboniyazov , K. . (2025). HEPATOCEREBRAL DEGENERATION: A CLINICAL CASE OF A RARE DISEASE . Eurasian Journal of Medical and Natural Sciences, 5(10), 70-75. https://www.in-academy.uz/index.php/EJMNS/article/view/10778
    Innovative Academy RSC
    Article metrics Views and PDF downloads
    0 Views
    0 Downloads