Document Detail

Reversible hepatic decerebration: a case report and review of the literature.
MedLine Citation:
PMID:  19521243     Owner:  NLM     Status:  MEDLINE    
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.
Edgard Wehbe; Dany Saad; Fabian Delgado; Ha Ta; Smyrna Abou Antoun
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  22     ISSN:  1473-5687     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-04     Completed Date:  2010-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  759-60     Citation Subset:  IM    
Department of Medicine, The University of Kansas School of Medicine-Wichita, Wichita, Kansas 67214, USA.
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MeSH Terms
Alcoholism / complications
Decerebrate State / diagnosis*,  drug therapy*,  etiology
Flumazenil / therapeutic use
Hepatic Encephalopathy / diagnosis*,  drug therapy*,  etiology
Liver Cirrhosis, Alcoholic / complications
Middle Aged
Portasystemic Shunt, Transjugular Intrahepatic / adverse effects*
Treatment Outcome
Reg. No./Substance:

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