Minimal Hepatic Encephalopathy- The Invisible Challenge!
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 12
Abstract
Minimal hepatic encephalopathy (MHE) is the earliest form of hepatic encephalopathy and can affect up to 80% of cirrhotic patients. MHE patients have normal mental and neurological status on standard clinical examination but exhibit a number of neuropsychiatric and neurophysiological defects, thus causing difficulty in daily tasks including driving etc. Aim and objective of study: There are few studies conducted in India related to MHE. Hence the present study was undertaken to determine the prevalence of Minimal Hepatic Encephalopathy. Material and Methods: 50 adult patients with established liver cirrhosis were studied for neuropsychiatric and neurophysiologic tests. Results: The prevalence of Minimal Hepatic encephalopathy (MHE) was 30% in the study population. Conclusions: MHE is an significant disorder that may seriously impair patients’ daily functioning and quality of life. MHE predicts the development of overt hepatic encephalopathy. Inspite of the various tools used, in the absence of a “gold standard,” a combination of test methods is recommended to diagnose MHE most reliably. The key point of emphasis is to identify the patients in presymptomatic stage and intervene early enough in order to halt the morbid and fatal future outcomes in liver cirrhotic patients.
Authors and Affiliations
Dr Pankaj H Bansode
Keywords
Related Articles
- EP ID EP521615
- DOI -
- Views 57
- Downloads 0
Perioperative Blood Transfusion in Patients Undergoing Cancer Surgery- A Clinical Study
Background: Allogenic blood transfusion is associated with several potential complications, especially in patients with cancer. The hazards of allogenic blood transfusion include transmission of infection and immunologic...
The Effect of Synbiotics on the Duration of Crying Time in Infants with Abdominal Colic
Objectives: Infantile colic is a condition which is seen commonly in infants that has psychosocial effects. The objective of this study was to evaluate the effectiveness of synbiotics with 4 bacterial strains - Streptoco...
Analysing the Role of Computed Tomography in the Diagnosis of Acute Pancreatitis and in Grading its Severity
Background: Acute pancreatitis is one of the most common gastroenterological disease. Alcoholism and biliary tract disease (gallstones) account for approximately 90% of cases. The incidence in Europe and United states ra...
Study of dual plating in bicondylar fracture, our experience in 25 cases at J.L.N hospital and Research Centre Bhilai (C.G)
Background: Bicondylar fractures of tibia are common fractures occurring in young age groups. Appropriate management is necessary for optimal function and to prevent complications. Aims and Objectives: To determine the u...
Gross and Histopathological Studies of Ovarian Tumors with Special Reference to Sex Cord Stromal Tumours-A Hospital Based Study
The aim of the study was to evaluate the frequency of histopathologically diagnosed ovarian tumour with special reference to sex cord stromal tumours cases attending a tertiary level medical facility based hospital in Gu...