Atypical neurological disorders in an elderly man with liver cirrhosis

AHD is a rare complication of liver cirrhosis that can be apperaed also in the absence of clinical and radiological findings of portosystemic shunt. In the presence of movement disorders in a cirrhotic patient, the AHD should be excluded because the clinical evolution and treatment differ from other conditions such as hepatic encephalopathy or movement disorders in advanced liver disease. Due to atypical and heterogeneous clinical manifestation, the MRI plays a key role in the diagnosis of this condition.