Hepatic Encephalopathy
Synonyms
Coma, Hepatic
Comas, Hepatic
Encephalopathies, Hepatic
Encephalopathies, Hepatocerebral
Encephalopathies, Portal-Systemic
Encephalopathies, Portosystemic
Encephalopathy, Hepatic
Encephalopathy, Hepatocerebral
Encephalopathy, Portal Systemic
Encephalopathy, Portal-Systemic
Encephalopathy, Portosystemic
Fulminant Hepatic Failure with Cerebral Edema
Hepatic Coma
Hepatic Comas
Hepatic Encephalopathies
Hepatic Stupor
Hepatic Stupors
Hepatocerebral Encephalopathies
Hepatocerebral Encephalopathy
Portal Systemic Encephalopathy
Portal-Systemic Encephalopathies
Portal-Systemic Encephalopathy
Portosystemic Encephalopathies
Portosystemic Encephalopathy
Stupor, Hepatic
Stupors, Hepatic
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)