[Minimal hepatic encephalopathy: characteristics, diagnosis and clinical implications]. / Encefalopatía hepática mínima: características, diagnóstico e implicaciones clínicas.
Rev Gastroenterol Mex
; 71(1): 63-70, 2006.
Article
em Es
| MEDLINE
| ID: mdl-17061481
ABSTRACT
The term minimal hepatic encephalopathy (MHE) refers to the subtle changes in cognitive function, electrophysiological parameters, cerebral neurochemical/neurotransmitter homeostasis, cerebral blood flow, metabolism, and fluid homeostasis that can be observed in patients with cirrhosis who have no clinical evidence of hepatic encephalopathy; the prevalence is as high as 84% in patients with hepatic cirrhosis. This cirrhosis complication is generally not perceived by physician, and diagnosis can only be made by neuropsychological tests and other especial measurements like evoked potentials and image studies like positron emission tomography. Diagnosis of minimal hepatic encephalopathy may have prognostic and therapeutic implications in cirrhotic patients. The present review pretends to explore the clinic, therapeutic, diagnosis and prognostic aspects of this complication.
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Base de dados:
MEDLINE
Assunto principal:
Encefalopatia Hepática
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
Es
Ano de publicação:
2006
Tipo de documento:
Article