| Reversible hepatic decerebration: a case report and review of the literature. | |
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MedLine Citation:
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PMID: 19521243 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hepatic encephalopathy is a syndrome of neuropsychiatric dysfunction caused by portosystemic venous shunting with or without the presence of intrinsic liver disease. Clinical presentations are variable ranging from an abnormal sleep pattern to somnolence and deep coma. Decerebrate and decorticate posturing, have been rarely reported with hepatic encephalopathy. We report a case of a 59-year-old-man with a history of Child-Pugh B liver disease secondary to chronic alcoholism who was admitted because of coma. He had a transjugular intrahepatic portosystemic shunt 3 months prior to his presentation. He was found to have decerebrating posture. He was treated for hepatic encephalopathy with complete recovery and resolution of the neurologic findings. The physician should be aware that decerebration and decortication posture can occur with hepatic encephalopathy and can be reversible. |
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Authors:
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Edgard Wehbe; Dany Saad; Fabian Delgado; Ha Ta; Smyrna Abou Antoun |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: European journal of gastroenterology & hepatology Volume: 22 ISSN: 1473-5687 ISO Abbreviation: Eur J Gastroenterol Hepatol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-04 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9000874 Medline TA: Eur J Gastroenterol Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 759-60 Citation Subset: IM |
Affiliation:
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Department of Medicine, The University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA. edgardwehbe@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Alcoholism
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complications Decerebrate State / diagnosis*, drug therapy*, etiology Flumazenil / therapeutic use Hepatic Encephalopathy / diagnosis*, drug therapy*, etiology Humans Liver Cirrhosis, Alcoholic / complications Male Middle Aged Portasystemic Shunt, Transjugular Intrahepatic / adverse effects* Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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78755-81-4/Flumazenil |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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