DB99.5

Hepatic encephalopathy

Encefalopatia hepática

Category

Definition

Hepatic encephalopathy is a complication of liver cirrhosis and a hallmark of acute liver failure, and is also observed in patients with portosystemic shunts without cirrhosis. Hepatic encephalopathy is characterised by personality changes, intellectual impairment, flapping tremor and a decreased consciousness level. In the advanced stages it is called hepatic coma, which may lead to death. The diagnosis of hepatic encephalopathy is made primarily by recognition of neuropsychiatric changes occurring in a patient with liver disease, after exclusion of brain diseases.

Exclusions

  • Chronic liver disease

Index Terms

Hepatic encephalopathyHE - [hepatic encephalopathy]hepatic encephalopathy NOShepatic encephalopathy, stage unspecifiedhepatic comahepatocerebral encephalopathyhepatocerebral intoxicationHepatic encephalopathy, stage 1Hepatic encephalopathy, stage 2Hepatic encephalopathy, stage 3Hepatic encephalopathy, stage 4Acute hepatic encephalopathyacute hepatoencephalopathyAcute hepatorenal encephalopathyacute hepatorenal comaAcute portosystemic encephalopathyGaustad's syndromePortal-systemic encephalopathyportosystemic encephalopathyTransient hepatargy syndromeHepatic encephalopathy, minimalMHE - [Minimal hepatic encephalopathy]Covert hepatic encephalopathy