how to cite this article: dara n, sayyari aa, imanzadeh f. hepatic encephalopathy: early diagnosis in pediatric patients with cirrhosis. iran j child neurol. 2014 winter; 8(1):1-11. objective as acute liver failure (alf) and chronic liver disease (cirrhosis) continue to increase in prevalence, we will see more cases of hepatic encephalopathy. primary care physician are often the first to suspec...

background: some evidence has shown benefits of probiotics in the management of minimal hepatic encephalopathy (mhe). we evaluated the efficacy of a multistrain probiotic compound, alone and in combination with lactulose, in the treatment of mhe. materials and methods: h   is study has two parts. first, consecutive adult patients with mhe were randomized to receive lactulose (30–60 ml/day) + pr...

BACKGROUND & AIMS It remains unknown what the prevalence of minimal hepatic encephalopathy is in Taiwan, a highly endemic country for chronic viral hepatitis infection. It is also unclear whether abnormal serum cytokine levels can be indicative of the presence of minimal hepatic encephalopathy. We aimed to standardize the tests of psychometric hepatic encephalopathy score and predictive value o...

conclusions the occurrence of he is associated with hyponatremia and ppi use in patients with aclf. results in univariate analysis, patients with he in aclf had a significantly higher rate of ppi use (89.1%) compared with non-he (63.6%, p = 0.001). in addition, clinical and standard laboratory variables were significantly different between the two groups regarding the infection rate, hyponatrem...

Background: Hepatic encephalopathy is defined as a neuropsychiatric brain dysfunction in acute or chronic liver failure. Infection and inflammation have crucial role in its pathophysiology. The purpose of our study was to demonstrate the relationship between toll-like receptor 4 (TLR4) expression and the encephalopathy induced with endotoxin in biliary cirrhotic rats. Methods: The present stud...

INTRODUCTION Minimal hepatic encephalopathy refers to a mild neurocognitive impairment not detectable by clinical examination that can be present in cirrhotic patients. AIM To determine the prevalence of minimal hepatic encephalopathy in a secondary healthcare center in Northern Portugal. MATERIAL AND METHODS A cross-sectional study was conducted. Cirrhotic outpatients were included. EXCL...

64 Hepatic encephalopathy (HE) or Portosystemic encephalopathy (PSE) in end-stage liver disease (ESLD) such as cirrhosis of the liver is a reversible and recurrent disorder of neurological function caused by liver disease or portosystemic shunting of blood or both. In this article only hepatic encephalopathy (HE) in chronic end-stage liver disease (ESLD) will be discussed. Hepatic encephalopath...

BACKGROUND AND PURPOSE White matter abnormalities have been demonstrated to play an important role in minimal hepatic encephalopathy. In this study, we aimed to evaluate whether WM diffusion tensor imaging can be used to identify minimal hepatic encephalopathy among patients with cirrhosis. MATERIALS AND METHODS Our study included 65 patients with cirrhosis with covert hepatic encephalopathy ...

BACKGROUND AND AIM Hepatic encephalopathy is a frequent complication of cirrhosis. The present retrospective investigation was conducted to characterize metabolic alterations in cirrhotic patients with and without hepatic encephalopathy. We tested the hypothesis that reduced nutritional status or the degree of tissue catabolism are associated with the presence of hepatic encephalopathy. METHO...