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An Unusual Encephalopathy 

An Unusual Encephalopathy
Chapter:
An Unusual Encephalopathy
Author(s):

Rudy M. Tedja

and Teng Moua

DOI:
10.1093/med/9780190464813.003.0038
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date: 14 October 2019

Hepatic encephalopathy is not an uncommon neuropsychiatric abnormality in patients with liver dysfunction, particularly advanced cirrhosis. It results from portosystemic venous shunting, and presentation varies from an abnormal sleep pattern to somnolence and deep coma. Neuromotor impairment in severe hepatic encephalopathy also varies from asterixis to bradykinesia and hyperreflexia. In general, neurologic manifestations are symmetric, although they may be focalized.

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