[A case of portal-systemic encephalopathy associated with Sheehan's syndrome].

@article{Hashiguchi2000ACO,
  title={[A case of portal-systemic encephalopathy associated with Sheehan's syndrome].},
  author={Hideyuki Hashiguchi and Toshiyuki Mera and Takao Hashimoto and Shoji Tsuji},
  journal={Rinsho shinkeigaku = Clinical neurology},
  year={2000},
  volume={40 2},
  pages={131-4}
}
A 66-year-old woman had had recurrent episodes of disturbed consciousness whenever she had been constipated or dehydrated. She had been inactive and afflicted with obstinate constipation since she had menopause at age of 32. She underwent gastrectomy for gastric ulcer at age of 37. Laboratory examination showed marked hyperammonemia, reduction in Fisher ratio, and poor excretion of ICG. Furthermore, hypopituitarism and secondary hypothyroidism were found. She was diagnosed as Sheehan's syndrome… CONTINUE READING