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Patent ductus venosus associated with a hyperintense globus pallidum on T1-weighted magnetic resonance imaging and pulmonary hypertension

  • Gastroenterology/Hepatology
  • Original Paper
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Abstract

We report the case of a 13-year-old Japanese boy with a patent ductus venosus. He experienced mild disorientation and hallucination at age 8 years. Hyperammonaemia was discovered at age 12 years. Brain MRI demonstrated multiple intracranial hyperintense lesions, mainly in the globus pallidum, which suggested portosystemic encephalopathy. Patent ductus venosus was demonstrated by abdominal ultrasonography and angiography. Cardiopulmonary investigation revealed pulmonary hypertension. An intracranial hyperintense lesion observed on T1-weighted MRI may be an initial clue for discovering a patent ductus venosus in asymptomatic patients.

Conclusion

When patent ductus venosus is disclosed, pulmonary hypertension should be sought, as in cases with other portosystemic shunts.

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Author notes

  1. Shinji Yanai

    Present address: Department of Paediatrics, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812, Fukuoka, Japan

Authors and Affiliations

  1. Department of Paediatrics, Faculty of Medicine, Kyushu University, 3-1-1 Maidashi, Higashi-ku, 812, Fukuoka, Japan

    Taketsugu Minami, Kazutaka Sonoda, Kenjiro Gondo, Kohsuke Tasaki, Takayuki Hijii, Junichiro Fukushige & Kohji Ueda

  2. Division of Diagnostic Ultrasound, Department of Radiology, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, 812, Fukuoka, Japan

    Tsuneo Hirata

  3. Department of Radiology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

    Takamoto Hayashi & Kanehiro Hasuo

Authors
  1. Shinji Yanai
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  2. Taketsugu Minami
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  3. Kazutaka Sonoda
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  4. Kenjiro Gondo
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  5. Kohsuke Tasaki
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  6. Takayuki Hijii
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  7. Junichiro Fukushige
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  8. Kohji Ueda
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  9. Tsuneo Hirata
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  10. Takamoto Hayashi
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  11. Kanehiro Hasuo
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Yanai, S., Minami, T., Sonoda, K. et al. Patent ductus venosus associated with a hyperintense globus pallidum on T1-weighted magnetic resonance imaging and pulmonary hypertension. Eur J Pediatr 154, 526–529 (1995). https://doi.org/10.1007/BF02074827

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  • DOI: https://doi.org/10.1007/BF02074827

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