Hepatic encephalopathy: management

Evidence-based neurology checklist on hepatic encephalopathy: management: Magnetic resonance imaging (MRI): acute features Diffuse cortical edema: this is seen on T2 and FLAIR sequences Cortical restricted diffusion: this is seen on DWI sequences Magnetic resonance imaging (MRI): chronic features…

Magnetic resonance imaging (MRI): acute features

  • Diffuse cortical edema: this is seen on T2 and FLAIR sequences
  • Cortical restricted diffusion: this is seen on DWI sequences

Magnetic resonance imaging (MRI): chronic features

Other MRI imaging modalities

Electroencephalogram (EEG): features

Evoked potentials (EPs): modalities

Dietary treatment

Drug treatments

Other treatment options

References

  1. Suraweera D, Sundaram V, Saab S. Evaluation and management of hepatic encephalopathy: current status and future directions. Gut Liver 2016; 10:509-519.
  2. Ellul MA, Gholkar SA, Cross TJ. Hepatic encephalopathy due to liver cirrhosis. BMJ 2015; 351:h4187.
  3. Jiang M, Wang Z, Tsauo J, et al. Basal ganglia hyperintensity may be a marker of hepatic encephalopathy secondary to portosystemic shunting. Clin Res Hepatol Gastroenterol 2015; 39:35-36.
  4. Shawcross DL, Dunk AA, Jalan R, et al; New Insights Steering Committee. How to diagnose and manage hepatic encephalopathy: a consensus statement on roles and responsibilities beyond the liver specialist. Eur J Gastroenterol Hepatol 2016; 28:146-152.
  5. Zhang XD, Zhang LJ, Wu SY, Lu GM. Multimodality magnetic resonance imaging in hepatic encephalopathy: an update. World J Gastroenterol 2014; 20:11262-11272.
  6. And 4 more. Subscribe to see the full list

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