Hepatic encephalopathy

Uncommon card · No. 144204

Hepatic encephalopathy (HE) is a brain disease leading to an altered level of consciousness; it occurs as a result of liver failure. Hepatic encephalopathy's onset may occur suddenly or gradually. Other symptoms of HE may include movement problems, mood changes including emotional lability, and changes in personality. In its advanced stages, hepatic encephalopathy can result in a coma. Hepatic encephalopathy can occur in those with acute or chronic liver disease. Flare-ups can be triggered by alcoholism, infections, gastrointestinal bleeding, constipation, electrolyte problems, or certain medications. The underlying mechanism is believed to involve the buildup of ammonia in the blood, a substance that is normally removed by the liver. The diagnosis is typically based on symptoms after ruling out other potential causes. It may be supported by blood ammonia levels, an electroencephalogram, or computer tomography (CT scan) of the brain. Hepatic encephalopathy is possibly reversible with treatment...

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