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Author Notes:

Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, Ga.



  • Science & Technology
  • Life Sciences & Biomedicine
  • Clinical Neurology
  • Neurosciences
  • Pathology
  • Neurosciences & Neurology

A 55-year-old man with liver failure, delirium and seizures - Diagnosis: Neurosarcoidosis


Journal Title:



Volume 17, Number 4


, Pages 472-+

Type of Work:

Article | Final Publisher PDF


A 55‐year‐old African‐American man with an 8‐month history of poorly controlled seizures and longstanding history of cirrhosis, diabetes and hypertension was brought to the emergency department for progressively worsening confusion, memory loss and increasing frequency of seizures. On the day of presentation, the patient had a prolonged generalized tonic‐clonic seizure. The patient was being treated for a hepatic encephalopathy with lactulose. Within the last 8 months he had had a transjugular intrahepatic portal system shunt for management of his end‐stage liver disease and was awaiting a liver transplant. A non‐contrast computed tomography of the head revealed no acute intracranial process. A magnetic resonance imaging (MRI) was subsequently obtained. After admission, the patient’s mental status continued to decline and ultimately progressed to multisystem organ failure. He suffered a cardiopulmonary arrest and expired.

Copyright information:

© 2007 The Authors

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/rdf).
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