Nonconvulsive Status Epilepticus in Hepatic Encephalopathy

منو

" Nonconvulsive Status Epilepticus in Hepatic Encephalopathy "
Jhun, Paul; Kim, Hyung

Document Type	:	AL
Record Number	:	934199
Doc. No	:	LA2pn6f87n
Language of Document	:	English
Main Entry	:	Jhun, Paul; Kim, Hyung
Title & Author	:	Nonconvulsive Status Epilepticus in Hepatic Encephalopathy [Article]\ Jhun, Paul; Kim, Hyung
Title of Periodical	:	Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Volume/ Issue Number	:	12/4
Date	:	2011
Abstract	:	We discuss a case of a 64-year-old male with a history of liver failure presenting with altered mental status, initially diagnosed with hepatic encephalopathy but ultimately diagnosed with nonconvulsive status epilepticus (NCSE) by electroencephalogram (EEG). NCSE is a difficult diagnosis to make, given no clear consensus on diagnostic criteria. Especially in the intensive care unit setting of persistent altered mental status with no clear etiology, NCSE must be considered in the differential diagnosis, as the consequences of delayed diagnosis and treatment can be substantial. EEG can be useful in the evaluation of patients with hepatic encephalopathy who have persistently altered levels of consciousness despite optimal medical management. [West J Emerg Med. 2011;12(4):372–374.]