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Hepatic Encephalopathy - Physiopathology
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Definition of 'Hepatic Encephalopathy'

A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)

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Sunday, November 22, 2009

Minimal hepatic encephalopathy is associated with motor vehicle crashes: the reality beyond the driving test.

29 Sep 2009 Patients with minimal hepatic encephalopathy (MHE) have impaired driving skills, but association of MHE with motor vehicle crashes is unclear. Standard psychometric tests (SPT) or inhibitory control test (ICT) can be used to diagnose MHE. The aim ... Read more...


Neurotransmitter receptor imbalances in motor cortex and basal ganglia in hepatic encephalopathy.

Aug 2009 Hepatic encephalopathy (HE) in chronic liver disease is characterized by neuropsychiatric and motor disturbances and associated with a net increase of inhibitory neurotransmission. Though many studies, mostly carried out in animal models, have ... Read more...


Impairment of driving ability and neuropsychological function in patients with MHE disease.

30 Jul 2009 Minimal hepatitis encephalopathy (MHE) is a liver cirrhosis complication that does not show symptoms of overt hepatitis encephalopathy (OHE) but can be detected using specific complementary neuropsychological and neurophysiological evaluations. ... Read more...

 

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Technical information about 'Hepatic Encephalopathy'

Definition: A syndrome characterized by central nervous system dysfunction in association with LIVER FAILURE, including portal-systemic shunts. Clinical features include lethargy and CONFUSION (frequently progressing to COMA); ASTERIXIS; NYSTAGMUS, PATHOLOGIC; brisk oculovestibular reflexes; decorticate and decerebrate posturing; MUSCLE SPASTICITY; and bilateral extensor plantar reflexes (see REFLEX, BABINSKI). ELECTROENCEPHALOGRAPHY may demonstrate triphasic waves. (From Adams et al., Principles of Neurology, 6th ed, pp1117-20; Plum & Posner, Diagnosis of Stupor and Coma, 3rd ed, p222-5)

Descriptor UI: D006501

Alternative terms: Hepatic Encephalopathy; Encephalopathies, Hepatic; Hepatic Encephalopathies; Portal-Systemic Encephalopathy; Portal Systemic Encephalopathy; Encephalopathy, Portosystemic; Encephalopathy, Hepatic; Encephalopathy, Hepatocerebral; Encephalopathies, Hepatocerebral; Hepatocerebral Encephalopathies; Encephalopathy, Portal-Systemic; Encephalopathies, Portal-Systemic; Encephalopathy, Portal Systemic; Portal-Systemic Encephalopathies; Hepatocerebral Encephalopathy; Portosystemic Encephalopathy; Encephalopathies, Portosystemic; Portosystemic Encephalopathies; Hepatic Coma; Coma, Hepatic; Comas, Hepatic; Hepatic Comas; Hepatic Stupor; Hepatic Stupors; Stupor, Hepatic; Stupors, Hepatic; Fulminant Hepatic Failure with Cerebral Edema;

Allowable Qualifiers: blood; cerebrospinal fluid; chemically induced; classification; complications; congenital; diagnosis; diet therapy; drug therapy; economics; embryology; enzymology; ethnology; etiology; genetics; history; immunology; metabolism; microbiology; mortality; nursing; epidemiology; parasitology; pathology; physiopathology; prevention & control; psychology; radiography; radionuclide imaging; radiotherapy; rehabilitation; surgery; therapy; urine; veterinary; ultrasonography; virology;

Tree Number: C06.552.308.500.356; C10.228.140.163.360; C18.452.132.360;

History Note: 1984; use HEPATIC COMA 1975-83

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