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Periodic confusion caused by congenital extrahepatic portacaval shunt

From the Departments of Neurology (Drs. Raskin and Bredesen), Surgery (Dr. Ehrenfeld), and Radiology (Dr. Kerlan), University of California at San Francisco, School of Medicine, San Francisco, CA.

A patient with portal-systemic encephalopathy was found to have congenital portal-systemic shunting due to an extrahepatic connection. The profound clinical disorder remitted completely on surgical correction of the shunt.

Address correspondence and reprint requests to Dr. Raskin, University of California at San Francisco, School of Medicine, Department of Neurology, San Francisco, CA 94143.

Accepted for publication September 9, 1983.

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