Encephalopathy is a disorder characterized by altered brain function, which can be attributed to various causes. Encephalopathy associated with metronidazole administration occurs rarely and depends on the cumulative metronidazole dose, and most patients with this condition recover rapidly after discontinuation of therapy. Because metronidazole is metabolized in the liver and can be transported...

BACKGROUND AND PURPOSE Hepatic encephalopathy in cirrhotic patients may be the clinical manifestation of disturbed cerebral cell volume homeostasis. The aim of this study was to investigate the presence of significant changes in magnetization transfer ratio (MTR) values, which could reflect an increase in free water within the brain of patients with liver cirrhosis, and to correlate these findi...

The study aimed at Aim evaluation the cerebral hemodynamics in cirrhotic patients by transcranial Doppler ultrasonography and its relation to hepatic encephalopathy. This study is a prospective study , 50 subjects attended El Hussein university hospital, inpatient and outpatient clinic are classified into three groups, group I(10 subjects as a healthy control),group II (20 subjects with liver c...

UNLABELLED INTRODUCTION Hepatic encephalopathy is usually suspected in patients who are cirrhotic with neuropsychiatric manifestations. We present a case of suspected hepatic encephalopathy that did not respond to standard empiric therapy and was eventually diagnosed as non-convulsive status epilepticus of complex partial type. Our patient responded dramatically to anti-convulsive therapy. ...

AIM Evaluate the association between phase angle and the development of hepatic encephalopathy in the long-term follow-up of cirrhotic patients. METHODS This was a prospective cohort study. Clinical, nutritional and biochemical evaluations were performed. Mann-Whitney's U and χ2 tests were used as appropriate. Kaplan-Meier curves and Cox proportional Hazards analysis were used to evaluate the...

OBJECTIVE To systematically review the effect of acetyl-L-carnitine in patients with hepatic encephalopathy. MATERIAL AND METHODS DESIGN systematic review and meta-analysis. DATA SOURCES The Cochrane Library, MEDLINE, EMBASE.com, Science Citation Index, Google search and the China Biological Medicine Database to June 2012. REVIEW METHODS randomized placebo controlled trials of acetyl-L...

Hepatic herniation through an abdominal incisional hernia is extremely rare phenomenon that has been reported in the medical literature few case reports. It associated with complications such as hepatic encephalopathy and Budd-Chiari syndrome. Most cases can be managed conservatively observation, but many require surgical intervention to preserve liver function. Our a 61-year-old female who pre...

OBJECTIVE The aim of this subgroup analysis was to identify the risk factors associated with the development of various movement disorder phenotypes. METHODS Eighty-three non-Wilsonian cirrhotic patients with abnormal movements were allocated into the following groups: intention tremor, bradykinesia, Parkinsonism, and abnormal ocular movements. These movement types were considered the primary...

CONTEXT Experimental and clinical studies suggest that LOLA may have a favorable influence on hepatic encephalopathy due to the effect on the reduction of ammonia, and improvement of the symptoms and laboratory findings. OBJECTIVES To evaluate and to critically analyze the efficacy and/or effectiveness results of the use of LOLA when compared to placebo in the treatment of hepatic encephalopa...