Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function

Neuropsychological tests were administered to 22 alcoholic cirrhotic patients, 20 nonalcoholic cirrhotic patients and 42 control subjects matched for age and educational background. Liver function estimated by Pugh score was identical in alcoholic and nonalcoholic cirrhotics. Thirty-two cirrhotic pa...

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Main Authors: Gilles Pomier-Layrargues, Ngoc Huu Nguyen, Claire Faucher, Jean-François Giguère, Roger F Butterworth
Format: Article
Language:English
Published: Wiley 1991-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/1991/680528
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author Gilles Pomier-Layrargues
Ngoc Huu Nguyen
Claire Faucher
Jean-François Giguère
Roger F Butterworth
author_facet Gilles Pomier-Layrargues
Ngoc Huu Nguyen
Claire Faucher
Jean-François Giguère
Roger F Butterworth
author_sort Gilles Pomier-Layrargues
collection DOAJ
description Neuropsychological tests were administered to 22 alcoholic cirrhotic patients, 20 nonalcoholic cirrhotic patients and 42 control subjects matched for age and educational background. Liver function estimated by Pugh score was identical in alcoholic and nonalcoholic cirrhotics. Thirty-two cirrhotic patients (76%) failed one or more psycho logical test. Performance was worse in cirrhotics than in controls in all but one test: the degree of neurological impairment was similar in alcoholics and nonalcoholics and correlation with the severity of Liver dysfunction was only marginal. A combination of the five more sensitive tests was able to identify 31 of 32 cirrhotic patients with subclinical encephalopathy; this ‘mini battery’ of tests can be performed within 10 mins. Suhclinical hepatic encephalopathy is frequent in cirrhotic patients and can adversely affect their psychosocial behaviour.
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series Canadian Journal of Gastroenterology
spelling doaj-art-554c518816ab47bdafbe4f55b806ca642025-08-20T02:05:06ZengWileyCanadian Journal of Gastroenterology0835-79001991-01-015412112510.1155/1991/680528Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver FunctionGilles Pomier-Layrargues0Ngoc Huu Nguyen1Claire Faucher2Jean-François Giguère3Roger F Butterworth4Liver Unit, Psychology Unit and Laboratory of Neurochemistry, Saint-Luc Hospital and André-Viallet Clinical Research Centre, University of Montreal, Montreal, Quebec, CanadaLiver Unit, Psychology Unit and Laboratory of Neurochemistry, Saint-Luc Hospital and André-Viallet Clinical Research Centre, University of Montreal, Montreal, Quebec, CanadaLiver Unit, Psychology Unit and Laboratory of Neurochemistry, Saint-Luc Hospital and André-Viallet Clinical Research Centre, University of Montreal, Montreal, Quebec, CanadaLiver Unit, Psychology Unit and Laboratory of Neurochemistry, Saint-Luc Hospital and André-Viallet Clinical Research Centre, University of Montreal, Montreal, Quebec, CanadaLiver Unit, Psychology Unit and Laboratory of Neurochemistry, Saint-Luc Hospital and André-Viallet Clinical Research Centre, University of Montreal, Montreal, Quebec, CanadaNeuropsychological tests were administered to 22 alcoholic cirrhotic patients, 20 nonalcoholic cirrhotic patients and 42 control subjects matched for age and educational background. Liver function estimated by Pugh score was identical in alcoholic and nonalcoholic cirrhotics. Thirty-two cirrhotic patients (76%) failed one or more psycho logical test. Performance was worse in cirrhotics than in controls in all but one test: the degree of neurological impairment was similar in alcoholics and nonalcoholics and correlation with the severity of Liver dysfunction was only marginal. A combination of the five more sensitive tests was able to identify 31 of 32 cirrhotic patients with subclinical encephalopathy; this ‘mini battery’ of tests can be performed within 10 mins. Suhclinical hepatic encephalopathy is frequent in cirrhotic patients and can adversely affect their psychosocial behaviour.http://dx.doi.org/10.1155/1991/680528
spellingShingle Gilles Pomier-Layrargues
Ngoc Huu Nguyen
Claire Faucher
Jean-François Giguère
Roger F Butterworth
Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
Canadian Journal of Gastroenterology
title Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
title_full Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
title_fullStr Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
title_full_unstemmed Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
title_short Subclinical Hepatic Encephalopathy in Cirrhotic Patients: Prevalence and Relationship to Liver Function
title_sort subclinical hepatic encephalopathy in cirrhotic patients prevalence and relationship to liver function
url http://dx.doi.org/10.1155/1991/680528
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