{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:11:36Z","timestamp":1765037496802,"version":"3.46.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,6]]},"DOI":"10.7759\/cureus.98579","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:09:02Z","timestamp":1765037342000},"source":"Crossref","is-referenced-by-count":0,"title":["A Mysterious Case of Recurrent Confusion: An Unusual Presentation of Congenital Intrahepatic Portosystemic Shunt"],"prefix":"10.7759","author":[{"given":"Fatma","family":"Shah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anesa","family":"Noor","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha","family":"Wahedna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dipesh","family":"Chauhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Shahzad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1329896","article-title":"Congenital portosystemic shunts in children: recognition, evaluation, and management","volume":"32","author":"Bernard O","year":"2012","unstructured":"Bernard O, Franchi-Abella S, Branchereau S, Pariente D, Gauthier F, Jacquemin E. Congenital portosystemic shunts in children: recognition, evaluation, and management. Semin Liver Dis. 2012, 32:273-87. 10.1055\/s-0032-1329896","journal-title":"Semin Liver Dis"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2021.778791","article-title":"Case report: clinical features of congenital portosystemic shunts in the neonatal period","volume":"9","author":"Xu S","year":"2021","unstructured":"Xu S, Zhang P, Hu L, Zhou W, Cheng G. Case report: clinical features of congenital portosystemic shunts in the neonatal period. Front Pediatr. 2021, 9:778791. 10.3389\/fped.2021.778791","journal-title":"Front Pediatr"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(94)90812-5","article-title":"Congenital absence of the portal vein: two cases and a proposed classification system for portasystemic vascular anomalies","volume":"29","author":"Morgan G","year":"1994","unstructured":"Morgan G, Superina R. Congenital absence of the portal vein: two cases and a proposed classification system for portasystemic vascular anomalies. J Pediatr Surg. 1994, 29:1239-41. 10.1016\/0022-3468(94)90812-5","journal-title":"J Pediatr Surg"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.293475","article-title":"Neurological symptoms of congenital portosystemic shunt reversed by venous endovascular intervention: a six years follow-up study","volume":"68","author":"Riolo FM","year":"2020","unstructured":"Riolo FM, Alvarez DP, Villegas MO, D\u00edaz JA. Neurological symptoms of congenital portosystemic shunt reversed by venous endovascular intervention: a six years follow-up study. Neurol India. 2020, 68:930-3. 10.4103\/0028-3886.293475","journal-title":"Neurol India"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.155.3.2117349","article-title":"Intrahepatic portosystemic venous shunt","volume":"155","author":"Park JH","year":"1990","unstructured":"Park JH, Cha SH, Han JK, Han MC. Intrahepatic portosystemic venous shunt. AJR Am J Roentgenol. 1990, 155:527-8. 10.2214\/ajr.155.3.2117349","journal-title":"AJR Am J Roentgenol"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2015.01.009","article-title":"The classification based on intrahepatic portal system for congenital portosystemic shunts","volume":"50","author":"Kanazawa H","year":"2015","unstructured":"Kanazawa H, Nosaka S, Miyazaki O, et al.. The classification based on intrahepatic portal system for congenital portosystemic shunts. J Pediatr Surg. 2015, 50:688-95. 10.1016\/j.jpedsurg.2015.01.009","journal-title":"J Pediatr Surg"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.11.009","article-title":"Management and classification of type II congenital portosystemic shunts","volume":"46","author":"Lautz TB","year":"2011","unstructured":"Lautz TB, Tantemsapya N, Rowell E, Superina RA. Management and classification of type II congenital portosystemic shunts. J Pediatr Surg. 2011, 46:308-14. 10.1016\/j.jpedsurg.2010.11.009","journal-title":"J Pediatr Surg"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1111\/j.1872-034X.2010.00667.x","article-title":"Clinical classification of congenital extrahepatic portosystemic shunts","volume":"40","author":"Kobayashi N","year":"2010","unstructured":"Kobayashi N, Niwa T, Kirikoshi H, Fujita K, Yoneda M, Saito S, Nakajima A. Clinical classification of congenital extrahepatic portosystemic shunts. Hepatol Res. 2010, 40:585-93. 10.1111\/j.1872-034X.2010.00667.x","journal-title":"Hepatol Res"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.jceh.2025.102630","article-title":"Congenital intrahepatic portosystemic shunt presenting with recurrent hepatic encephalopathy in adulthood","volume":"15","author":"Shastri A","year":"2025","unstructured":"Shastri A, De A, Ashraf MU, Ganesh CP, Chaluvashetty SB, Bhujade H, Duseja A. Congenital intrahepatic portosystemic shunt presenting with recurrent hepatic encephalopathy in adulthood. J Clin Exp Hepatol. 2025, 15:102630. 10.1016\/j.jceh.2025.102630","journal-title":"J Clin Exp Hepatol"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2025.03.059","article-title":"Shunting the diagnosis of a rapid decline in cognition","volume":"169","author":"Troppmair MR","year":"2025","unstructured":"Troppmair MR, Schaefer B, Freund M. Shunting the diagnosis of a rapid decline in cognition. Gastroenterology. 2025, 169:1353-6. 10.1053\/j.gastro.2025.03.059","journal-title":"Gastroenterology"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1097\/MPG.0000000000002521","article-title":"Efficacy and safety of sodium benzoate in the management of hyperammonemia in decompensated chronic liver disease of the childhood-a double-blind randomized controlled trial","volume":"70","author":"Snehavardhan P","year":"2020","unstructured":"Snehavardhan P, Lal BB, Sood V, Khanna R, Alam S. Efficacy and safety of sodium benzoate in the management of hyperammonemia in decompensated chronic liver disease of the childhood-a double-blind randomized controlled trial. J Pediatr Gastroenterol Nutr. 2020, 70:165-70. 10.1097\/MPG.0000000000002521","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1111\/fcp.12340","article-title":"Treating hepatic encephalopathy in cirrhotic patients admitted to ICU with sodium phenylbutyrate: a preliminary study","volume":"32","author":"Weiss N","year":"2018","unstructured":"Weiss N, Tripon S, Lodey M, et al.. Treating hepatic encephalopathy in cirrhotic patients admitted to ICU with sodium phenylbutyrate: a preliminary study. Fundam Clin Pharmacol. 2018, 32:209-15. 10.1111\/fcp.12340","journal-title":"Fundam Clin Pharmacol"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/hep.26611","article-title":"Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy","volume":"59","author":"Rockey DC","year":"2014","unstructured":"Rockey DC, Vierling JM, Mantry P, et al.. Randomized, double-blind, controlled study of glycerol phenylbutyrate in hepatic encephalopathy. Hepatology. 2014, 59:1073-83. 10.1002\/hep.26611","journal-title":"Hepatology"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1007\/s40265-018-1023-2","article-title":"Pharmacokinetic and pharmacodynamic properties of L-ornithine L-aspartate (LOLA) in hepatic encephalopathy","volume":"79","author":"Kircheis G","year":"2019","unstructured":"Kircheis G, L\u00fcth S. Pharmacokinetic and pharmacodynamic properties of L-ornithine L-aspartate (LOLA) in hepatic encephalopathy. Drugs. 2019, 79:23-9. 10.1007\/s40265-018-1023-2","journal-title":"Drugs"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s11011-019-00463-8","article-title":"Beneficial effects of L-ornithine L-aspartate for prevention of overt hepatic encephalopathy in patients with cirrhosis: a systematic review with meta-analysis","volume":"35","author":"Butterworth RF","year":"2020","unstructured":"Butterworth RF. Beneficial effects of L-ornithine L-aspartate for prevention of overt hepatic encephalopathy in patients with cirrhosis: a systematic review with meta-analysis. Metab Brain Dis. 2020, 35:75-81. 10.1007\/s11011-019-00463-8","journal-title":"Metab Brain Dis"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhepr.2023.100933","article-title":"Expert management of congenital portosystemic shunts and their complications","volume":"6","author":"McLin VA","year":"2024","unstructured":"McLin VA, Franchi-Abella S, Br\u00fctsch T, et al.. Expert management of congenital portosystemic shunts and their complications. JHEP Rep. 2024, 6:100933. 10.1016\/j.jhepr.2023.100933","journal-title":"JHEP Rep"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.5582\/irdr.2020.03005","article-title":"A basic understanding of congenital extrahepatic portosystemic shunt: incidence, mechanism, complications, diagnosis, and treatment","volume":"9","author":"Tang H","year":"2020","unstructured":"Tang H, Song P, Wang Z, et al.. A basic understanding of congenital extrahepatic portosystemic shunt: incidence, mechanism, complications, diagnosis, and treatment. Intractable Rare Dis Res. 2020, 9:64-70. 10.5582\/irdr.2020.03005","journal-title":"Intractable Rare Dis Res"}],"container-title":["Cureus"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cureus.com\/articles\/439024-a-mysterious-case-of-recurrent-confusion-an-unusual-presentation-of-congenital-intrahepatic-portosystemic-shunt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:09:03Z","timestamp":1765037343000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cureus.com\/articles\/439024-a-mysterious-case-of-recurrent-confusion-an-unusual-presentation-of-congenital-intrahepatic-portosystemic-shunt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,6]]},"references-count":17,"URL":"https:\/\/doi.org\/10.7759\/cureus.98579","relation":{},"ISSN":["2168-8184"],"issn-type":[{"value":"2168-8184","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12,6]]}}}