Published: 10 February 2022
Author(s): Bernardo Canhão, André Trigo, João Madaleno
Issue: May 2022
Section: Internal Medicine Flashcard

A 68-year-old male with a history of alcohol-related cirrhosis presented with persistent tremor, gait ataxia and choreiform movements of upper limbs over the past 4 days. The patient, that assured treatment compliance and alcohol abstinence, also reported progressive walking difficulty and recurrent falls within the previous month. He had been submitted to a transjugular intrahepatic portosystemic shunt (TIPS) placement for refractory ascites 4 years ago, and since then, no signs of cirrhosis decompensation were found.

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